Other operating room procedures for injuries with complications in Pennsylvania
What 11 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for other operating room procedures for injuries with complications (DRG 908), from 2024 Medicare claims.
Average charge
$136,050
Hospital list price billed
Average payment
$21,649
Medicare + patient + other payers
Medicare paid
$17,474
Average per stay
State rank
#12 of 21
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $136,050 for other operating room procedures for injuries with complications, about 6.3 times the average total payment of $21,649. That payment is 2% below the U.S. average of $22,105.
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 $21,649Billed $136,050
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 operating room procedures for injuries 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 |
|---|---|---|---|---|
| Thomas Jefferson University HospitalPhiladelphia | 18 | $111,334 | $23,211 | $19,221 |
| Hospital of the Univ of PaPhiladelphia | 17 | $183,808 | $24,920 | $20,287 |
| Lehigh Valley HospitalAllentown | 17 | $141,837 | $19,587 | $15,902 |
| Penn Presbyterian Medical CenterPhiladelphia | 17 | $143,214 | $21,096 | $19,447 |
| UPMC Presbyterian ShadysidePittsburgh | 16 | $184,601 | $21,170 | $14,291 |
| Milton S Hershey Medical CenterHershey | 14 | $146,219 | $29,886 | $23,256 |
| Geisinger Medical CenterDanville | 12 | $194,635 | $20,042 | $17,534 |
| York HospitalYork | 12 | $103,948 | $21,149 | $15,157 |
| St Luke's Hospital BethlehemBethlehem | 12 | $127,769 | $19,961 | $15,703 |
| Allegheny General HospitalPittsburgh | 12 | $60,161 | $18,352 | $14,691 |
| UPMC Pinnacle HospitalsHarrisburg | 12 | $68,204 | $16,502 | $14,603 |
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
| UPMC Pinnacle HospitalsHarrisburg, PA | $16,502 |
|---|---|
| Allegheny General HospitalPittsburgh, PA | $18,352 |
| Lehigh Valley HospitalAllentown, PA | $19,587 |
| St Luke's Hospital BethlehemBethlehem, PA | $19,961 |
| Geisinger Medical CenterDanville, PA | $20,042 |
Highest
| Milton S Hershey Medical CenterHershey, PA | $29,886 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $24,920 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $23,211 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $21,170 |
| York HospitalYork, PA | $21,149 |
Other operating room procedures for injuries with complications in other states
Questions
How much does other operating room procedures for injuries with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for other operating room procedures for injuries with complications (DRG 908) at 11 hospitals in Pennsylvania was billed at $136,050 on average, while the average total payment was $21,649, of which Medicare paid $17,474. 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 6.3 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.