facebook tracking Other kidney and urinary tract diagnoses with major complications cost in Pennsylvania: 82 hospitals compared (DRG 698)

Other kidney and urinary tract diagnoses with major complications in Pennsylvania

What 82 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for other kidney and urinary tract diagnoses with major complications (DRG 698), from 2024 Medicare claims.

DRG 698 Inpatient 2024 Medicare data
Average charge $75,871 Hospital list price billed
Average payment $14,505 Medicare + patient + other payers
Medicare paid $12,186 Average per stay
State rank #27 of 49 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $75,871 for other kidney and urinary tract diagnoses with major complications, about 5.2 times the average total payment of $14,505. That payment is 6% below the U.S. average of $15,452.

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 $14,505Billed $75,871

About 19¢ 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 kidney and urinary tract 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 176 $87,558 $14,993 $12,347
Abington Memorial HospitalAbington 103 $52,040 $13,732 $11,797
Reading Hospital and Med CtrWest Reading 95 $55,272 $14,362 $12,314
York HospitalYork 79 $49,725 $14,885 $11,815
Geisinger Medical CenterDanville 78 $121,108 $17,941 $14,080
Thomas Jefferson University HospitalPhiladelphia 73 $99,062 $22,872 $16,155
Main Line Hospital LankenauWynnewood 70 $85,777 $14,692 $12,643
Jefferson Health- NortheastPhiladelphia 68 $46,272 $14,295 $12,027
Geisinger Wyoming Vly Med CtrWilkes-Barre 67 $106,999 $14,335 $11,356
Geisinger-Community Medical CenterScranton 66 $111,007 $12,581 $11,405
UPMC Presbyterian ShadysidePittsburgh 65 $164,519 $17,653 $13,136
St Luke's Hospital BethlehemBethlehem 64 $115,544 $15,337 $13,556
Chambersburg HospitalChambersburg 62 $35,027 $12,479 $11,601
St Mary Medical CenterLanghorne 62 $40,234 $12,716 $11,438
UPMC Pinnacle HospitalsHarrisburg 60 $47,353 $13,096 $11,424
Lancaster General HospitalLancaster 59 $50,259 $13,066 $11,805
Chester County HospitalWest Chester 56 $53,870 $11,928 $10,187
Doylestown HospitalDoylestown 52 $36,139 $11,711 $10,164
Milton S Hershey Medical CenterHershey 51 $71,050 $17,988 $15,482
Temple University HospitalPhiladelphia 49 $181,297 $23,396 $18,911
Hospital of the Univ of PaPhiladelphia 49 $171,358 $25,302 $17,242
Main Line Hospital PaoliPaoli 48 $82,688 $11,492 $10,664
Riddle Memorial HospitalMedia 45 $98,535 $11,311 $10,368
Albert Einstein Medical CenterPhiladelphia 44 $79,170 $21,471 $16,379
Chestnut Hill HospitalPhiladelphia 43 $129,713 $14,597 $12,845
Williamsport Hospital & Medical CenterWilliamsport 41 $50,909 $12,454 $10,988
Main Line Hospital Bryn Mawr CampusBryn Mawr 39 $95,176 $13,984 $12,026
Nazareth HospitalPhiladelphia 39 $59,235 $15,067 $12,594
Good Samaritan HospitalLebanon 38 $41,847 $12,860 $11,415
Crozer Chester Medical CenterChester 38 $148,028 $16,614 $14,185
Robert Packer HospitalSayre 35 $44,531 $14,351 $12,414
Pottstown Memorial Med CenterPottstown 35 $74,273 $11,052 $10,516
Lansdale HospitalLansdale 34 $33,941 $10,876 $9,185
UPMC PassavantPittsburgh 34 $64,284 $10,355 $8,369
St Luke's Hospital - Anderson CampusEaston 32 $96,688 $18,243 $13,973
Lewistown HospitalLewistown 30 $53,286 $13,277 $12,208
Mount Nittany Medical CenterState College 30 $37,242 $14,462 $13,648
Uniontown HospitalUniontown 29 $28,186 $11,174 $10,274
Phoenixville HospitalPhoenixville 29 $79,774 $12,813 $11,653
St Clair Memorial HospitalPittsburgh 29 $30,777 $10,448 $9,549
Allegheny General HospitalPittsburgh 28 $65,603 $17,056 $12,927
Hanover HospitalHanover 28 $42,440 $14,210 $11,601
Jefferson Einstein Montgomery HospitalEast Norriton 28 $65,389 $17,497 $14,610
Geisinger St. Luke's HospitalOrwigsburg 28 $59,807 $11,325 $10,560
Wilkes-Barre General HospitalWilkes-Barre 27 $84,422 $11,527 $9,677
Penn Presbyterian Medical CenterPhiladelphia 27 $118,412 $17,119 $15,224
Pocono Medical CenterEast Stroudsburg 26 $78,186 $13,963 $10,144
Penn State Health Lancaster Medical CenterLancaster 25 $55,667 $16,090 $8,229
Carlisle Regional Medical CtrCarlisle 24 $42,416 $10,639 $9,244
Hazleton General HospitalHazleton 24 $73,231 $11,508 $10,830
Latrobe Area HospitalLatrobe 24 $20,853 $12,205 $10,943
Ephrata Community HospitalEphrata 24 $53,020 $11,269 $10,147
Schuylkill Medical Center - South Jackson StreetPottsville 23 $75,699 $12,747 $11,572
Altoona Regional Health SystemAltoona 23 $54,718 $12,484 $11,403
Holy Redeemer Hosp and Med CtrJenkintown 23 $35,128 $11,383 $10,354
Mercy Hospital ScrantonScranton 23 $59,164 $11,083 $9,598
St Luke's Hospital - Monroe CampusStroudsburg 23 $139,432 $12,018 $11,108
Gettysburg HospitalGettysburg 22 $41,091 $12,634 $11,892
St Luke's Quakertown HospitalQuakertown 21 $159,931 $13,943 $12,761
Mercy Health SystemConshohocken 21 $83,255 $19,551 $14,194
Conemaugh Valley Memorial HospitalJohnstown 20 $33,856 $15,651 $14,061
Wayne Memorial HospitalHonesdale 20 $36,148 $14,063 $13,328
Saint Vincent Health CenterErie 19 $83,924 $14,312 $12,327
Western Pennsylvania Hosp Forbes Regional CampusMonroeville 19 $56,937 $12,650 $11,063
Holy Spirit HospitalCamp Hill 18 $69,636 $11,209 $10,211
Grand View HospitalSellersville 18 $48,776 $10,944 $10,422
Hamot Medical CenterErie 18 $120,086 $14,553 $12,097
Jefferson Regional Medical CenterClairton 18 $46,363 $10,332 $10,060
Penn State Health Hampden Medical CenterEnola 18 $75,810 $17,913 $13,412
Excela Health Westmoreland Regional HospitalGreensburg 16 $33,664 $12,531 $8,889
Monongahela Valley HospitalMonongahela 15 $27,715 $10,920 $10,050
Evangelical Community HospitalLewisburg 13 $59,178 $10,534 $9,529
UPMC LititzLititz 12 $53,240 $14,287 $12,885
Meadville Medical CenterMeadville 12 $41,308 $11,528 $10,245
Easton HospitalEaston 12 $58,689 $13,960 $13,199
Excela Health Frick HospitalMt Pleasant 12 $30,062 $11,466 $10,922
Jameson Memorial HospitalNew Castle 11 $32,363 $12,119 $10,885
UPMC MercyPittsburgh 11 $84,399 $16,607 $13,536
Dubois Regional Medical CenterDubois 11 $32,015 $9,874 $8,771
UPMC MemorialYork 11 $42,832 $13,280 $9,403
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 11 $173,749 $23,328 $21,209
St Luke's Hospital - Carbon CampusLehighton 11 $94,931 $11,370 $8,984
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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

Dubois Regional Medical CenterDubois, PA$9,874
Jefferson Regional Medical CenterClairton, PA$10,332
UPMC PassavantPittsburgh, PA$10,355
St Clair Memorial HospitalPittsburgh, PA$10,448
Evangelical Community HospitalLewisburg, PA$10,534

Highest

Hospital of the Univ of PaPhiladelphia, PA$25,302
Temple University HospitalPhiladelphia, PA$23,396
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA$23,328
Thomas Jefferson University HospitalPhiladelphia, PA$22,872
Albert Einstein Medical CenterPhiladelphia, PA$21,471

Other kidney and urinary tract diagnoses with major complications in other states

Questions

How much does other kidney and urinary tract diagnoses with major complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for other kidney and urinary tract diagnoses with major complications (DRG 698) at 82 hospitals in Pennsylvania was billed at $75,871 on average, while the average total payment was $14,505, of which Medicare paid $12,186. 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 5.2 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.