Other musculoskeletal system and connective tissue diagnoses with complications in Pennsylvania
What 13 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue diagnoses with complications (DRG 565), from 2024 Medicare claims.
Average charge
$54,148
Hospital list price billed
Average payment
$10,517
Medicare + patient + other payers
Medicare paid
$6,748
Average per stay
State rank
#9 of 13
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $54,148 for other musculoskeletal system and connective tissue diagnoses with complications, about 5.1 times the average total payment of $10,517. That payment is 2% above the U.S. average of $10,350.
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 $10,517Billed $54,148
About 19¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: other musculoskeletal system and connective tissue 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 | 39 | $59,601 | $9,277 | $6,864 |
| Abington Memorial HospitalAbington | 24 | $36,377 | $9,037 | $6,265 |
| York HospitalYork | 18 | $39,291 | $17,727 | $5,103 |
| St Luke's Hospital BethlehemBethlehem | 16 | $74,221 | $11,992 | $7,603 |
| Lancaster General HospitalLancaster | 16 | $35,001 | $11,267 | $5,635 |
| Chambersburg HospitalChambersburg | 15 | $30,558 | $8,422 | $6,337 |
| Reading Hospital and Med CtrWest Reading | 14 | $44,978 | $9,292 | $6,986 |
| St Luke's Hospital - Anderson CampusEaston | 14 | $74,013 | $11,551 | $8,241 |
| Geisinger-Community Medical CenterScranton | 13 | $76,570 | $8,169 | $6,747 |
| Geisinger Medical CenterDanville | 13 | $122,500 | $12,058 | $6,724 |
| Albert Einstein Medical CenterPhiladelphia | 13 | $42,252 | $12,510 | $9,554 |
| St Mary Medical CenterLanghorne | 13 | $30,421 | $8,342 | $6,679 |
| Main Line Hospital PaoliPaoli | 11 | $49,923 | $7,379 | $5,601 |
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 | $7,379 |
|---|---|
| Geisinger-Community Medical CenterScranton, PA | $8,169 |
| St Mary Medical CenterLanghorne, PA | $8,342 |
| Chambersburg HospitalChambersburg, PA | $8,422 |
| Abington Memorial HospitalAbington, PA | $9,037 |
Highest
| York HospitalYork, PA | $17,727 |
|---|---|
| Albert Einstein Medical CenterPhiladelphia, PA | $12,510 |
| Geisinger Medical CenterDanville, PA | $12,058 |
| St Luke's Hospital BethlehemBethlehem, PA | $11,992 |
| St Luke's Hospital - Anderson CampusEaston, PA | $11,551 |
Other musculoskeletal system and connective tissue diagnoses with complications in other states
Questions
How much does other musculoskeletal system and connective tissue diagnoses with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue diagnoses with complications (DRG 565) at 13 hospitals in Pennsylvania was billed at $54,148 on average, while the average total payment was $10,517, of which Medicare paid $6,748. 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 5.1 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.