Other circulatory system diagnoses with major complications in Pennsylvania
What 48 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with major complications (DRG 314), from 2024 Medicare claims.
Average charge
$121,226
Hospital list price billed
Average payment
$21,032
Medicare + patient + other payers
Medicare paid
$17,152
Average per stay
State rank
#33 of 47
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $121,226 for other circulatory system diagnoses with major complications, about 5.8 times the average total payment of $21,032. That payment is 1% below the U.S. average of $21,323.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $21,032Billed $121,226
About 17¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: other circulatory system diagnoses with major complications
Every Pennsylvania hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 81 | $256,509 | $35,031 | $26,957 |
| UPMC Presbyterian ShadysidePittsburgh | 74 | $257,287 | $26,961 | $21,461 |
| Lehigh Valley HospitalAllentown | 68 | $103,090 | $17,676 | $14,843 |
| Abington Memorial HospitalAbington | 48 | $74,691 | $18,306 | $13,905 |
| Temple University HospitalPhiladelphia | 41 | $172,006 | $25,768 | $21,278 |
| York HospitalYork | 41 | $65,141 | $20,283 | $14,834 |
| Jefferson Health- NortheastPhiladelphia | 41 | $71,138 | $18,252 | $14,774 |
| Geisinger Medical CenterDanville | 39 | $142,099 | $23,033 | $16,147 |
| Thomas Jefferson University HospitalPhiladelphia | 39 | $150,924 | $28,733 | $22,061 |
| Reading Hospital and Med CtrWest Reading | 38 | $65,023 | $18,042 | $16,323 |
| Milton S Hershey Medical CenterHershey | 38 | $123,990 | $25,407 | $20,033 |
| UPMC Pinnacle HospitalsHarrisburg | 34 | $78,119 | $18,784 | $13,844 |
| St Luke's Hospital BethlehemBethlehem | 29 | $109,755 | $21,601 | $15,772 |
| Chambersburg HospitalChambersburg | 29 | $46,561 | $17,900 | $12,987 |
| Main Line Hospital LankenauWynnewood | 29 | $88,318 | $17,112 | $15,675 |
| Allegheny General HospitalPittsburgh | 28 | $91,583 | $22,773 | $18,661 |
| Penn Presbyterian Medical CenterPhiladelphia | 28 | $144,182 | $22,291 | $20,631 |
| St Mary Medical CenterLanghorne | 27 | $51,341 | $18,445 | $13,607 |
| Lancaster General HospitalLancaster | 25 | $52,802 | $18,368 | $13,918 |
| Albert Einstein Medical CenterPhiladelphia | 24 | $71,093 | $26,319 | $20,405 |
| Chester County HospitalWest Chester | 24 | $72,415 | $15,016 | $13,353 |
| Doylestown HospitalDoylestown | 24 | $50,969 | $14,395 | $13,910 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 20 | $118,204 | $17,636 | $16,199 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 20 | $82,196 | $20,018 | $16,298 |
| Robert Packer HospitalSayre | 18 | $68,356 | $18,753 | $16,512 |
| Chestnut Hill HospitalPhiladelphia | 17 | $262,215 | $21,284 | $18,757 |
| Main Line Hospital PaoliPaoli | 17 | $96,374 | $13,869 | $12,994 |
| Riddle Memorial HospitalMedia | 16 | $87,265 | $13,132 | $12,316 |
| Geisinger-Community Medical CenterScranton | 15 | $88,237 | $15,390 | $14,460 |
| UPMC PassavantPittsburgh | 15 | $100,507 | $14,599 | $13,796 |
| Hamot Medical CenterErie | 14 | $102,165 | $17,131 | $15,790 |
| St Luke's Hospital - Monroe CampusStroudsburg | 14 | $172,386 | $15,068 | $12,057 |
| St Luke's Hospital - Carbon CampusLehighton | 14 | $109,634 | $14,662 | $12,575 |
| Williamsport Hospital & Medical CenterWilliamsport | 13 | $73,341 | $15,404 | $14,145 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 13 | $105,291 | $14,720 | $13,724 |
| Butler Health SystemButler | 13 | $62,401 | $14,427 | $13,423 |
| Nazareth HospitalPhiladelphia | 13 | $81,640 | $20,555 | $17,681 |
| Holy Spirit HospitalCamp Hill | 12 | $81,613 | $13,490 | $13,036 |
| West Penn HospitalPittsburgh | 12 | $136,438 | $19,692 | $17,472 |
| Wilkes-Barre General HospitalWilkes-Barre | 12 | $79,908 | $14,505 | $12,230 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 12 | $289,924 | $30,470 | $25,143 |
| Hanover HospitalHanover | 12 | $71,094 | $17,097 | $16,281 |
| AHN Wexford HospitalWexford | 12 | $57,959 | $16,315 | $11,607 |
| Saint Vincent Health CenterErie | 11 | $69,071 | $17,824 | $16,707 |
| Crozer Chester Medical CenterChester | 11 | $375,628 | $36,048 | $28,497 |
| St Clair Memorial HospitalPittsburgh | 11 | $43,016 | $12,073 | $11,149 |
| Mount Nittany Medical CenterState College | 11 | $52,803 | $17,266 | $15,934 |
| St Luke's Hospital - Anderson CampusEaston | 11 | $124,493 | $22,279 | $19,080 |
Lowest and highest payments in Pennsylvania
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| St Clair Memorial HospitalPittsburgh, PA | $12,073 |
|---|---|
| Riddle Memorial HospitalMedia, PA | $13,132 |
| Holy Spirit HospitalCamp Hill, PA | $13,490 |
| Main Line Hospital PaoliPaoli, PA | $13,869 |
| Doylestown HospitalDoylestown, PA | $14,395 |
Highest
| Crozer Chester Medical CenterChester, PA | $36,048 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $35,031 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $30,470 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $28,733 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $26,961 |
Other circulatory system diagnoses with major complications in other states
Questions
How much does other circulatory system diagnoses with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with major complications (DRG 314) at 48 hospitals in Pennsylvania was billed at $121,226 on average, while the average total payment was $21,032, of which Medicare paid $17,152. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Pennsylvania, average charges were 5.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.