Pathological fractures and musculoskeletal and connective tissue malignancy with complications in Pennsylvania
What 24 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$58,818
Hospital list price billed
Average payment
$9,915
Medicare + patient + other payers
Medicare paid
$7,461
Average per stay
State rank
#18 of 34
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $58,818 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 5.9 times the average total payment of $9,915. That payment is 4% below the U.S. average of $10,379.
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 $9,915Billed $58,818
About 17¢ 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: pathological fractures and musculoskeletal and connective tissue malignancy 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 | 138 | $60,996 | $9,880 | $7,658 |
| Geisinger-Community Medical CenterScranton | 42 | $89,951 | $9,436 | $6,574 |
| St Luke's Hospital BethlehemBethlehem | 36 | $76,740 | $10,346 | $8,367 |
| Doylestown HospitalDoylestown | 34 | $25,066 | $7,980 | $6,038 |
| Lancaster General HospitalLancaster | 29 | $36,593 | $8,786 | $6,630 |
| Geisinger Medical CenterDanville | 25 | $96,218 | $13,144 | $8,444 |
| UPMC Presbyterian ShadysidePittsburgh | 23 | $131,040 | $12,698 | $7,355 |
| Chester County HospitalWest Chester | 20 | $33,922 | $8,102 | $6,388 |
| Mount Nittany Medical CenterState College | 20 | $31,127 | $10,078 | $8,624 |
| Holy Spirit HospitalCamp Hill | 17 | $41,827 | $7,406 | $6,411 |
| Abington Memorial HospitalAbington | 17 | $41,525 | $9,212 | $7,650 |
| Milton S Hershey Medical CenterHershey | 17 | $48,533 | $10,980 | $8,792 |
| Robert Packer HospitalSayre | 16 | $28,145 | $9,715 | $7,887 |
| UPMC Pinnacle HospitalsHarrisburg | 15 | $38,569 | $9,011 | $7,036 |
| St Luke's Hospital - Anderson CampusEaston | 14 | $76,755 | $12,287 | $9,173 |
| York HospitalYork | 13 | $45,044 | $9,819 | $7,400 |
| Allegheny General HospitalPittsburgh | 13 | $55,481 | $13,277 | $7,588 |
| Main Line Hospital PaoliPaoli | 13 | $52,471 | $7,454 | $6,320 |
| St Mary Medical CenterLanghorne | 13 | $29,540 | $8,587 | $7,304 |
| Chambersburg HospitalChambersburg | 12 | $32,035 | $8,724 | $7,627 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 12 | $75,781 | $8,400 | $6,978 |
| Temple University HospitalPhiladelphia | 11 | $115,604 | $14,237 | $10,882 |
| Jefferson Health- NortheastPhiladelphia | 11 | $30,472 | $8,571 | $7,208 |
| Penn State Health Lancaster Medical CenterLancaster | 11 | $39,394 | $11,979 | $5,537 |
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
| Holy Spirit HospitalCamp Hill, PA | $7,406 |
|---|---|
| Main Line Hospital PaoliPaoli, PA | $7,454 |
| Doylestown HospitalDoylestown, PA | $7,980 |
| Chester County HospitalWest Chester, PA | $8,102 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $8,400 |
Highest
| Temple University HospitalPhiladelphia, PA | $14,237 |
|---|---|
| Allegheny General HospitalPittsburgh, PA | $13,277 |
| Geisinger Medical CenterDanville, PA | $13,144 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $12,698 |
| St Luke's Hospital - Anderson CampusEaston, PA | $12,287 |
Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 24 hospitals in Pennsylvania was billed at $58,818 on average, while the average total payment was $9,915, of which Medicare paid $7,461. 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 5.9 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.