facebook tracking Other disorders of nervous system with complications cost in Pennsylvania: 40 hospitals compared (DRG 092)

Other disorders of nervous system with complications in Pennsylvania

What 40 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for other disorders of nervous system with complications (DRG 092), from 2024 Medicare claims.

DRG 092 Inpatient 2024 Medicare data
Average charge $57,057 Hospital list price billed
Average payment $9,410 Medicare + patient + other payers
Medicare paid $7,273 Average per stay
State rank #16 of 40 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $57,057 for other disorders of nervous system with complications, about 6.1 times the average total payment of $9,410. That payment is 12% below the U.S. average of $10,701.

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 $9,410Billed $57,057

About 16¢ 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 disorders of nervous system 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 102 $58,797 $9,367 $7,616
Abington Memorial HospitalAbington 62 $38,256 $9,238 $6,990
St Luke's Hospital BethlehemBethlehem 60 $66,439 $10,587 $8,087
St Luke's Hospital - Anderson CampusEaston 58 $72,799 $11,409 $8,837
Jefferson Health- NortheastPhiladelphia 57 $29,113 $9,031 $6,976
Reading Hospital and Med CtrWest Reading 56 $45,391 $9,216 $7,667
St Luke's Hospital - Monroe CampusStroudsburg 42 $62,654 $8,219 $6,228
Thomas Jefferson University HospitalPhiladelphia 34 $55,248 $13,055 $9,327
UPMC Pinnacle HospitalsHarrisburg 33 $41,697 $8,692 $7,107
Wilkes-Barre General HospitalWilkes-Barre 31 $41,976 $7,573 $6,143
Chester County HospitalWest Chester 30 $38,564 $7,856 $6,097
Lancaster General HospitalLancaster 29 $40,468 $8,868 $6,485
Main Line Hospital PaoliPaoli 26 $70,129 $7,174 $5,771
UPMC Presbyterian ShadysidePittsburgh 26 $112,584 $11,351 $7,714
Doylestown HospitalDoylestown 24 $24,375 $7,274 $6,488
St Luke's Hospital - Carbon CampusLehighton 23 $81,056 $8,222 $6,060
Lansdale HospitalLansdale 21 $27,020 $6,917 $5,829
Hospital of the Univ of PaPhiladelphia 20 $118,324 $15,130 $8,992
Hamot Medical CenterErie 19 $71,005 $10,314 $7,103
Jefferson Einstein Montgomery HospitalEast Norriton 19 $36,960 $10,417 $8,266
York HospitalYork 18 $45,571 $11,155 $6,744
Pottstown Memorial Med CenterPottstown 18 $76,037 $9,204 $5,532
Chestnut Hill HospitalPhiladelphia 17 $108,686 $10,006 $7,934
St Luke's Quakertown HospitalQuakertown 17 $71,738 $8,777 $7,529
Williamsport Hospital & Medical CenterWilliamsport 17 $31,309 $7,412 $6,416
Main Line Hospital Bryn Mawr CampusBryn Mawr 17 $72,786 $7,742 $6,500
Milton S Hershey Medical CenterHershey 17 $49,018 $11,697 $9,123
Phoenixville HospitalPhoenixville 16 $52,263 $8,367 $6,807
Main Line Hospital LankenauWynnewood 16 $64,474 $9,602 $7,870
Temple University HospitalPhiladelphia 14 $246,571 $14,739 $11,118
Schuylkill Medical Center - South Jackson StreetPottsville 14 $32,762 $8,013 $7,065
Mount Nittany Medical CenterState College 14 $25,560 $9,357 $8,216
Holy Redeemer Hosp and Med CtrJenkintown 13 $28,525 $7,333 $5,945
UPMC PassavantPittsburgh 13 $61,914 $7,431 $5,793
Mercy Hospital ScrantonScranton 13 $56,748 $7,867 $5,925
Geisinger Wyoming Vly Med CtrWilkes-Barre 13 $61,339 $8,951 $7,250
Geisinger Medical CenterDanville 12 $66,130 $10,983 $8,523
Washington Hospital, theWashington 12 $13,850 $7,679 $5,761
Meadville Medical CenterMeadville 11 $21,128 $7,942 $6,703
Geisinger St. Luke's HospitalOrwigsburg 11 $35,051 $6,743 $5,823
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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

Geisinger St. Luke's HospitalOrwigsburg, PA$6,743
Lansdale HospitalLansdale, PA$6,917
Main Line Hospital PaoliPaoli, PA$7,174
Doylestown HospitalDoylestown, PA$7,274
Holy Redeemer Hosp and Med CtrJenkintown, PA$7,333

Highest

Hospital of the Univ of PaPhiladelphia, PA$15,130
Temple University HospitalPhiladelphia, PA$14,739
Thomas Jefferson University HospitalPhiladelphia, PA$13,055
Milton S Hershey Medical CenterHershey, PA$11,697
St Luke's Hospital - Anderson CampusEaston, PA$11,409

Other disorders of nervous system with complications in other states

Questions

How much does other disorders of nervous system with complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for other disorders of nervous system with complications (DRG 092) at 40 hospitals in Pennsylvania was billed at $57,057 on average, while the average total payment was $9,410, of which Medicare paid $7,273. 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 6.1 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.