Other digestive system diagnoses with complications in Pennsylvania
What 45 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.
Average charge
$52,223
Hospital list price billed
Average payment
$8,818
Medicare + patient + other payers
Medicare paid
$6,618
Average per stay
State rank
#22 of 46
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $52,223 for other digestive system diagnoses with complications, about 5.9 times the average total payment of $8,818. That payment is 8% below the U.S. average of $9,547.
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 $8,818Billed $52,223
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 digestive system diagnoses with 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 |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 97 | $52,139 | $8,656 | $6,942 |
| UPMC Presbyterian ShadysidePittsburgh | 67 | $115,974 | $10,975 | $6,948 |
| Abington Memorial HospitalAbington | 56 | $30,183 | $8,139 | $6,362 |
| Lancaster General HospitalLancaster | 47 | $31,038 | $7,873 | $6,132 |
| Chester County HospitalWest Chester | 42 | $43,096 | $7,284 | $5,406 |
| Doylestown HospitalDoylestown | 41 | $24,435 | $6,775 | $5,587 |
| Reading Hospital and Med CtrWest Reading | 39 | $42,671 | $8,579 | $7,025 |
| York HospitalYork | 37 | $35,335 | $8,388 | $6,828 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 34 | $47,809 | $7,327 | $5,929 |
| Geisinger Medical CenterDanville | 33 | $74,323 | $10,778 | $7,605 |
| St Mary Medical CenterLanghorne | 33 | $30,631 | $7,635 | $6,301 |
| UPMC Pinnacle HospitalsHarrisburg | 31 | $37,988 | $8,299 | $6,365 |
| Thomas Jefferson University HospitalPhiladelphia | 31 | $57,949 | $12,272 | $8,662 |
| St Luke's Hospital - Anderson CampusEaston | 31 | $64,830 | $11,636 | $7,190 |
| St Luke's Hospital BethlehemBethlehem | 30 | $87,221 | $9,688 | $6,965 |
| Hospital of the Univ of PaPhiladelphia | 27 | $155,950 | $17,601 | $11,848 |
| Geisinger-Community Medical CenterScranton | 26 | $71,739 | $7,952 | $5,833 |
| Temple University HospitalPhiladelphia | 26 | $87,911 | $12,431 | $9,802 |
| Main Line Hospital PaoliPaoli | 26 | $55,010 | $6,704 | $5,536 |
| Riddle Memorial HospitalMedia | 23 | $49,590 | $6,718 | $5,512 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 23 | $33,003 | $7,201 | $5,867 |
| Jefferson Health- NortheastPhiladelphia | 22 | $37,930 | $8,465 | $6,942 |
| Chambersburg HospitalChambersburg | 22 | $23,138 | $9,106 | $5,300 |
| St Luke's Hospital - Monroe CampusStroudsburg | 22 | $62,432 | $7,390 | $5,738 |
| UPMC PassavantPittsburgh | 21 | $45,909 | $6,564 | $4,949 |
| Hamot Medical CenterErie | 20 | $56,449 | $8,711 | $7,158 |
| Milton S Hershey Medical CenterHershey | 20 | $51,511 | $12,716 | $7,763 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 20 | $36,828 | $9,457 | $7,326 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 19 | $77,548 | $8,685 | $6,465 |
| Lansdale HospitalLansdale | 16 | $27,469 | $6,371 | $5,045 |
| Conemaugh Valley Memorial HospitalJohnstown | 16 | $23,157 | $9,028 | $6,901 |
| Wilkes-Barre General HospitalWilkes-Barre | 15 | $56,976 | $7,383 | $5,400 |
| Main Line Hospital LankenauWynnewood | 15 | $70,624 | $8,374 | $6,654 |
| Mount Nittany Medical CenterState College | 15 | $23,628 | $8,460 | $6,979 |
| AHN Wexford HospitalWexford | 15 | $25,848 | $6,646 | $4,855 |
| Williamsport Hospital & Medical CenterWilliamsport | 14 | $30,439 | $7,092 | $5,686 |
| Grand View HospitalSellersville | 14 | $26,577 | $6,616 | $5,596 |
| Altoona Regional Health SystemAltoona | 14 | $21,514 | $7,377 | $6,196 |
| Saint Vincent Health CenterErie | 13 | $36,066 | $8,387 | $7,177 |
| Allegheny General HospitalPittsburgh | 13 | $48,103 | $11,310 | $7,068 |
| Holy Redeemer Hosp and Med CtrJenkintown | 13 | $23,453 | $7,084 | $5,943 |
| Mercy Hospital ScrantonScranton | 13 | $44,293 | $6,950 | $5,388 |
| Robert Packer HospitalSayre | 11 | $38,637 | $8,676 | $6,363 |
| Dubois Regional Medical CenterDubois | 11 | $19,961 | $7,581 | $4,900 |
| Pocono Medical CenterEast Stroudsburg | 11 | $46,206 | $7,503 | $6,171 |
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
| Lansdale HospitalLansdale, PA | $6,371 |
|---|---|
| UPMC PassavantPittsburgh, PA | $6,564 |
| Grand View HospitalSellersville, PA | $6,616 |
| AHN Wexford HospitalWexford, PA | $6,646 |
| Main Line Hospital PaoliPaoli, PA | $6,704 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $17,601 |
|---|---|
| Milton S Hershey Medical CenterHershey, PA | $12,716 |
| Temple University HospitalPhiladelphia, PA | $12,431 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $12,272 |
| St Luke's Hospital - Anderson CampusEaston, PA | $11,636 |
Other digestive system diagnoses with complications in other states
Questions
How much does other digestive system diagnoses with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 45 hospitals in Pennsylvania was billed at $52,223 on average, while the average total payment was $8,818, of which Medicare paid $6,618. 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 5.9 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.