facebook tracking Other vascular procedures with major complications cost in Pennsylvania: 25 hospitals compared (DRG 252)

Other vascular procedures with major complications in Pennsylvania

What 25 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for other vascular procedures with major complications (DRG 252), from 2024 Medicare claims.

DRG 252 Inpatient 2024 Medicare data
Average charge $209,600 Hospital list price billed
Average payment $34,410 Medicare + patient + other payers
Medicare paid $29,199 Average per stay
State rank #27 of 36 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $209,600 for other vascular procedures with major complications, about 6.1 times the average total payment of $34,410. That payment is about the same as the U.S. average of $34,185.

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 $34,410Billed $209,600

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 vascular procedures 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
Penn Presbyterian Medical CenterPhiladelphia 39 $272,800 $35,156 $32,787
UPMC Presbyterian ShadysidePittsburgh 37 $315,280 $34,213 $30,206
Lehigh Valley HospitalAllentown 35 $205,960 $29,647 $26,197
St Luke's Hospital BethlehemBethlehem 34 $261,236 $33,795 $27,493
Lancaster General HospitalLancaster 29 $151,260 $36,393 $25,574
Thomas Jefferson University HospitalPhiladelphia 28 $221,976 $44,880 $34,255
Hospital of the Univ of PaPhiladelphia 25 $453,184 $54,007 $45,158
Abington Memorial HospitalAbington 25 $91,459 $28,237 $24,929
Main Line Hospital LankenauWynnewood 22 $160,970 $30,227 $28,142
Temple University HospitalPhiladelphia 20 $410,889 $39,305 $34,411
Robert Packer HospitalSayre 18 $97,866 $30,160 $28,139
Albert Einstein Medical CenterPhiladelphia 18 $162,380 $45,165 $37,605
Geisinger Medical CenterDanville 16 $214,909 $32,889 $29,845
York HospitalYork 16 $148,577 $47,279 $24,213
Allegheny General HospitalPittsburgh 16 $147,131 $36,957 $25,733
UPMC Pinnacle HospitalsHarrisburg 16 $96,350 $27,617 $25,294
Conemaugh Valley Memorial HospitalJohnstown 16 $116,729 $31,612 $29,358
Jefferson Health- NortheastPhiladelphia 16 $120,530 $26,185 $24,826
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 16 $188,601 $32,085 $29,810
Altoona Regional Health SystemAltoona 15 $117,647 $27,730 $23,126
Doylestown HospitalDoylestown 14 $94,020 $24,718 $23,590
Hamot Medical CenterErie 12 $247,246 $29,670 $27,860
UPMC PassavantPittsburgh 12 $209,982 $22,855 $21,626
Reading Hospital and Med CtrWest Reading 11 $132,002 $28,896 $26,863
Geisinger Wyoming Vly Med CtrWilkes-Barre 11 $251,046 $29,713 $28,401
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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

UPMC PassavantPittsburgh, PA$22,855
Doylestown HospitalDoylestown, PA$24,718
Jefferson Health- NortheastPhiladelphia, PA$26,185
UPMC Pinnacle HospitalsHarrisburg, PA$27,617
Altoona Regional Health SystemAltoona, PA$27,730

Highest

Hospital of the Univ of PaPhiladelphia, PA$54,007
York HospitalYork, PA$47,279
Albert Einstein Medical CenterPhiladelphia, PA$45,165
Thomas Jefferson University HospitalPhiladelphia, PA$44,880
Temple University HospitalPhiladelphia, PA$39,305

Other vascular procedures with major complications in other states

Questions

How much does other vascular procedures with major complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for other vascular procedures with major complications (DRG 252) at 25 hospitals in Pennsylvania was billed at $209,600 on average, while the average total payment was $34,410, of which Medicare paid $29,199. 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.