facebook tracking Percutaneous and other intracardiac procedures with major complications cost in Pennsylvania: 6 hospitals compared (DRG 273)

Percutaneous and other intracardiac procedures with major complications in Pennsylvania

What 6 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for percutaneous and other intracardiac procedures with major complications (DRG 273), from 2024 Medicare claims.

DRG 273 Inpatient 2024 Medicare data
Average charge $360,015 Hospital list price billed
Average payment $48,409 Medicare + patient + other payers
Medicare paid $40,228 Average per stay
State rank #24 of 28 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $360,015 for percutaneous and other intracardiac procedures with major complications, about 7.4 times the average total payment of $48,409. That payment is 26% above the U.S. average of $38,504.

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 $48,409Billed $360,015

About 13¢ 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: percutaneous and other intracardiac 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
Hospital of the Univ of PaPhiladelphia 46 $570,384 $64,240 $55,439
Lancaster General HospitalLancaster 22 $187,876 $34,775 $33,254
York HospitalYork 19 $157,205 $46,378 $26,169
St Luke's Hospital BethlehemBethlehem 19 $272,831 $37,060 $30,800
Temple University HospitalPhiladelphia 16 $390,802 $48,236 $39,683
Lehigh Valley HospitalAllentown 12 $287,294 $34,139 $32,615
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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

Lehigh Valley HospitalAllentown, PA$34,139
Lancaster General HospitalLancaster, PA$34,775
St Luke's Hospital BethlehemBethlehem, PA$37,060
York HospitalYork, PA$46,378
Temple University HospitalPhiladelphia, PA$48,236

Highest

Hospital of the Univ of PaPhiladelphia, PA$64,240
Temple University HospitalPhiladelphia, PA$48,236
York HospitalYork, PA$46,378
St Luke's Hospital BethlehemBethlehem, PA$37,060
Lancaster General HospitalLancaster, PA$34,775

Percutaneous and other intracardiac procedures with major complications in other states

Questions

How much does percutaneous and other intracardiac procedures with major complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for percutaneous and other intracardiac procedures with major complications (DRG 273) at 6 hospitals in Pennsylvania was billed at $360,015 on average, while the average total payment was $48,409, of which Medicare paid $40,228. 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 7.4 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.