Other digestive system diagnoses with major complications in Pennsylvania
What 36 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for other digestive system diagnoses with major complications (DRG 393), from 2024 Medicare claims.
Average charge
$91,174
Hospital list price billed
Average payment
$16,246
Medicare + patient + other payers
Medicare paid
$12,786
Average per stay
State rank
#28 of 44
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $91,174 for other digestive system diagnoses with major complications, about 5.6 times the average total payment of $16,246. That payment is 5% below the U.S. average of $17,117.
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 $16,246Billed $91,174
About 18¢ 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 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 |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 53 | $117,032 | $15,842 | $12,531 |
| UPMC Presbyterian ShadysidePittsburgh | 40 | $147,738 | $17,758 | $13,682 |
| Lancaster General HospitalLancaster | 36 | $55,259 | $13,571 | $10,224 |
| Hospital of the Univ of PaPhiladelphia | 35 | $219,594 | $31,470 | $20,256 |
| Abington Memorial HospitalAbington | 33 | $54,094 | $15,067 | $12,905 |
| Geisinger Medical CenterDanville | 32 | $101,040 | $17,156 | $14,483 |
| St Luke's Hospital BethlehemBethlehem | 30 | $122,007 | $16,514 | $13,152 |
| Reading Hospital and Med CtrWest Reading | 29 | $59,176 | $16,573 | $11,638 |
| Chester County HospitalWest Chester | 29 | $53,093 | $12,051 | $11,095 |
| Temple University HospitalPhiladelphia | 28 | $168,802 | $21,460 | $15,521 |
| St Luke's Hospital - Anderson CampusEaston | 28 | $98,152 | $18,847 | $13,841 |
| Thomas Jefferson University HospitalPhiladelphia | 26 | $65,277 | $19,930 | $14,338 |
| York HospitalYork | 25 | $35,650 | $15,026 | $11,154 |
| Milton S Hershey Medical CenterHershey | 24 | $63,578 | $17,808 | $14,254 |
| UPMC Pinnacle HospitalsHarrisburg | 23 | $46,611 | $14,474 | $11,327 |
| Geisinger-Community Medical CenterScranton | 21 | $112,536 | $12,881 | $10,938 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 21 | $65,567 | $12,767 | $11,034 |
| Main Line Hospital LankenauWynnewood | 18 | $93,029 | $14,854 | $12,705 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 18 | $138,392 | $18,058 | $16,196 |
| Hamot Medical CenterErie | 17 | $47,812 | $14,525 | $13,032 |
| Doylestown HospitalDoylestown | 16 | $43,299 | $11,728 | $10,641 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 16 | $99,373 | $14,170 | $11,684 |
| UPMC PassavantPittsburgh | 15 | $74,490 | $11,690 | $9,478 |
| Saint Vincent Health CenterErie | 14 | $100,475 | $14,868 | $12,606 |
| Jefferson Health- NortheastPhiladelphia | 14 | $53,786 | $14,684 | $11,704 |
| Wilkes-Barre General HospitalWilkes-Barre | 14 | $76,615 | $12,270 | $9,349 |
| Chambersburg HospitalChambersburg | 14 | $39,604 | $16,150 | $10,267 |
| Allegheny General HospitalPittsburgh | 13 | $56,506 | $16,744 | $13,485 |
| Main Line Hospital PaoliPaoli | 13 | $82,965 | $11,524 | $10,509 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 13 | $49,705 | $14,083 | $11,973 |
| Williamsport Hospital & Medical CenterWilliamsport | 12 | $64,663 | $13,821 | $12,708 |
| Robert Packer HospitalSayre | 12 | $44,767 | $15,078 | $13,378 |
| Conemaugh Valley Memorial HospitalJohnstown | 12 | $63,196 | $15,959 | $13,008 |
| Chestnut Hill HospitalPhiladelphia | 11 | $232,499 | $16,884 | $13,653 |
| UPMC MemorialYork | 11 | $63,044 | $12,624 | $11,289 |
| St Luke's Hospital - Carbon CampusLehighton | 11 | $70,227 | $12,338 | $8,929 |
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
| Main Line Hospital PaoliPaoli, PA | $11,524 |
|---|---|
| UPMC PassavantPittsburgh, PA | $11,690 |
| Doylestown HospitalDoylestown, PA | $11,728 |
| Chester County HospitalWest Chester, PA | $12,051 |
| Wilkes-Barre General HospitalWilkes-Barre, PA | $12,270 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $31,470 |
|---|---|
| Temple University HospitalPhiladelphia, PA | $21,460 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $19,930 |
| St Luke's Hospital - Anderson CampusEaston, PA | $18,847 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $18,058 |
Other digestive system diagnoses with major complications in other states
Questions
How much does other digestive system diagnoses with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with major complications (DRG 393) at 36 hospitals in Pennsylvania was billed at $91,174 on average, while the average total payment was $16,246, of which Medicare paid $12,786. 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 5.6 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.