facebook tracking Peripheral vascular disorders without complications cost in Pennsylvania: 1 hospitals compared (DRG 301)

Peripheral vascular disorders without complications in Pennsylvania

What 1 hospital in Pennsylvania charged and were paid for a Medicare hospital stay for peripheral vascular disorders without complications (DRG 301), from 2024 Medicare claims.

DRG 301 Inpatient 2024 Medicare data
Average charge $22,183 Hospital list price billed
Average payment $5,852 Medicare + patient + other payers
Medicare paid $4,531 Average per stay
Volume 11 Medicare hospital stays

Hospitals in Pennsylvania billed an average of $22,183 for peripheral vascular disorders without complications, about 3.8 times the average total payment of $5,852. That payment is 24% below the U.S. average of $7,716.

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 $5,852Billed $22,183

About 26¢ 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: peripheral vascular disorders without 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
St Mary Medical CenterLanghorne 11 $22,183 $5,852 $4,531
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Peripheral vascular disorders without complications in other states

Questions

How much does peripheral vascular disorders without complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for peripheral vascular disorders without complications (DRG 301) at 1 hospital in Pennsylvania was billed at $22,183 on average, while the average total payment was $5,852, of which Medicare paid $4,531. 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 3.8 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.