facebook tracking Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ cost in Pennsylvania: 50 hospitals compared (DRG 321)

Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ in Pennsylvania

What 50 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ (DRG 321), from 2024 Medicare claims.

DRG 321 Inpatient 2024 Medicare data
Average charge $171,326 Hospital list price billed
Average payment $26,392 Medicare + patient + other payers
Medicare paid $21,509 Average per stay
State rank #30 of 47 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $171,326 for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/, about 6.5 times the average total payment of $26,392. That payment is 1% below the U.S. average of $26,768.

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 $26,392Billed $171,326

About 15¢ 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 cardiovascular procedures with intraluminal device with major complications or 4+ arteries/

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 98 $238,080 $25,836 $22,437
York HospitalYork 42 $173,587 $37,476 $20,670
UPMC Presbyterian ShadysidePittsburgh 41 $287,441 $31,008 $23,133
Hamot Medical CenterErie 40 $181,864 $26,108 $21,577
Doylestown HospitalDoylestown 39 $125,068 $21,550 $17,374
Geisinger Medical CenterDanville 36 $241,835 $29,459 $24,796
Robert Packer HospitalSayre 35 $62,777 $27,649 $21,163
Main Line Hospital Bryn Mawr CampusBryn Mawr 35 $143,802 $23,415 $18,990
Lancaster General HospitalLancaster 34 $129,465 $24,907 $19,842
Saint Vincent Health CenterErie 31 $190,031 $25,360 $23,461
UPMC Pinnacle HospitalsHarrisburg 31 $114,186 $23,999 $22,061
Main Line Hospital LankenauWynnewood 31 $176,245 $28,634 $22,657
St Luke's Hospital BethlehemBethlehem 30 $236,592 $27,867 $23,381
Abington Memorial HospitalAbington 29 $129,635 $23,731 $21,745
Penn Presbyterian Medical CenterPhiladelphia 28 $292,300 $32,090 $30,079
St Mary Medical CenterLanghorne 28 $102,755 $24,127 $19,443
Jefferson Health- NortheastPhiladelphia 26 $131,473 $25,791 $20,360
Altoona Regional Health SystemAltoona 25 $89,415 $22,154 $19,154
Main Line Hospital PaoliPaoli 25 $129,726 $19,999 $18,750
Chester County HospitalWest Chester 24 $75,426 $21,832 $18,828
Riddle Memorial HospitalMedia 23 $124,032 $22,814 $17,420
UPMC PassavantPittsburgh 21 $261,414 $21,297 $18,482
Mercy Hospital ScrantonScranton 21 $201,583 $20,492 $18,676
Milton S Hershey Medical CenterHershey 21 $225,107 $34,455 $32,066
Geisinger-Community Medical CenterScranton 18 $223,126 $24,084 $19,139
Wilkes-Barre General HospitalWilkes-Barre 18 $224,278 $25,138 $16,070
Chambersburg HospitalChambersburg 18 $99,211 $26,586 $19,582
St Joseph Medical CenterReading 16 $206,100 $27,414 $25,338
Excela Health Westmoreland Regional HospitalGreensburg 16 $85,494 $20,763 $17,336
Conemaugh Valley Memorial HospitalJohnstown 15 $99,858 $29,049 $21,308
Phoenixville HospitalPhoenixville 15 $153,254 $22,772 $20,807
Thomas Jefferson University HospitalPhiladelphia 15 $214,315 $46,464 $31,501
St Luke's Hospital - Monroe CampusStroudsburg 15 $201,715 $23,451 $18,748
Reading Hospital and Med CtrWest Reading 14 $110,235 $30,395 $19,427
Hospital of the Univ of PaPhiladelphia 14 $438,192 $45,789 $39,774
Albert Einstein Medical CenterPhiladelphia 14 $140,523 $34,720 $29,513
St Luke's Hospital - Anderson CampusEaston 14 $182,323 $31,640 $24,217
Holy Spirit HospitalCamp Hill 13 $197,192 $23,947 $19,387
Evangelical Community HospitalLewisburg 13 $106,353 $19,082 $17,452
Ephrata Community HospitalEphrata 13 $110,611 $22,254 $16,947
Jefferson Regional Medical CenterClairton 13 $146,251 $22,043 $16,975
Geisinger Wyoming Vly Med CtrWilkes-Barre 13 $230,024 $23,789 $21,957
Allegheny General HospitalPittsburgh 12 $132,318 $28,055 $23,842
Pocono Medical CenterEast Stroudsburg 12 $173,000 $24,381 $18,610
Mount Nittany Medical CenterState College 12 $84,736 $28,882 $21,635
AHN Wexford HospitalWexford 12 $107,587 $18,728 $17,316
Penn State Health Lancaster Medical CenterLancaster 12 $158,822 $25,914 $21,426
Uniontown HospitalUniontown 11 $57,182 $21,894 $16,768
Dubois Regional Medical CenterDubois 11 $87,424 $21,187 $19,498
Monongahela Valley HospitalMonongahela 11 $136,873 $20,172 $18,540
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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

AHN Wexford HospitalWexford, PA$18,728
Evangelical Community HospitalLewisburg, PA$19,082
Main Line Hospital PaoliPaoli, PA$19,999
Monongahela Valley HospitalMonongahela, PA$20,172
Mercy Hospital ScrantonScranton, PA$20,492

Highest

Thomas Jefferson University HospitalPhiladelphia, PA$46,464
Hospital of the Univ of PaPhiladelphia, PA$45,789
York HospitalYork, PA$37,476
Albert Einstein Medical CenterPhiladelphia, PA$34,720
Milton S Hershey Medical CenterHershey, PA$34,455

Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ in other states

Questions

How much does percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ (DRG 321) at 50 hospitals in Pennsylvania was billed at $171,326 on average, while the average total payment was $26,392, of which Medicare paid $21,509. 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 6.5 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.