facebook tracking Permanent cardiac pacemaker implant with major complications cost in Pennsylvania: 25 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in Pennsylvania

What 25 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $190,935 Hospital list price billed
Average payment $30,651 Medicare + patient + other payers
Medicare paid $26,706 Average per stay
State rank #29 of 41 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $190,935 for permanent cardiac pacemaker implant with major complications, about 6.2 times the average total payment of $30,651. That payment is about the same as the U.S. average of $30,574.

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 $30,651Billed $190,935

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: permanent cardiac pacemaker implant 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
Lehigh Valley HospitalAllentown 46 $245,322 $29,711 $27,960
Lancaster General HospitalLancaster 40 $125,716 $29,673 $23,428
St Luke's Hospital BethlehemBethlehem 34 $175,849 $31,888 $28,308
York HospitalYork 31 $121,451 $28,918 $27,201
Abington Memorial HospitalAbington 31 $149,012 $28,523 $25,399
Chambersburg HospitalChambersburg 26 $114,041 $28,429 $24,418
UPMC Presbyterian ShadysidePittsburgh 26 $471,353 $37,392 $32,065
Geisinger-Community Medical CenterScranton 23 $220,727 $26,161 $24,617
Mercy Hospital ScrantonScranton 23 $238,195 $26,369 $22,560
Geisinger Wyoming Vly Med CtrWilkes-Barre 21 $173,615 $26,562 $23,805
Hospital of the Univ of PaPhiladelphia 20 $537,869 $62,049 $53,188
Geisinger Medical CenterDanville 19 $169,115 $35,342 $27,625
Robert Packer HospitalSayre 19 $93,149 $31,176 $25,676
UPMC Pinnacle HospitalsHarrisburg 18 $148,687 $29,760 $27,296
Jefferson Health- NortheastPhiladelphia 18 $138,597 $29,656 $24,624
Williamsport Hospital & Medical CenterWilliamsport 16 $136,532 $24,726 $23,369
Hamot Medical CenterErie 16 $229,957 $29,243 $27,240
Chester County HospitalWest Chester 15 $111,843 $23,670 $19,780
Reading Hospital and Med CtrWest Reading 14 $142,671 $29,301 $27,338
Thomas Jefferson University HospitalPhiladelphia 14 $193,561 $43,721 $28,511
Main Line Hospital PaoliPaoli 13 $127,455 $24,020 $22,877
Main Line Hospital LankenauWynnewood 13 $198,228 $29,965 $27,445
Doylestown HospitalDoylestown 12 $114,930 $23,486 $22,438
Main Line Hospital Bryn Mawr CampusBryn Mawr 11 $122,017 $27,988 $21,217
Excela Health Westmoreland Regional HospitalGreensburg 11 $89,289 $22,064 $20,729
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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

Excela Health Westmoreland Regional HospitalGreensburg, PA$22,064
Doylestown HospitalDoylestown, PA$23,486
Chester County HospitalWest Chester, PA$23,670
Main Line Hospital PaoliPaoli, PA$24,020
Williamsport Hospital & Medical CenterWilliamsport, PA$24,726

Highest

Hospital of the Univ of PaPhiladelphia, PA$62,049
Thomas Jefferson University HospitalPhiladelphia, PA$43,721
UPMC Presbyterian ShadysidePittsburgh, PA$37,392
Geisinger Medical CenterDanville, PA$35,342
St Luke's Hospital BethlehemBethlehem, PA$31,888

Permanent cardiac pacemaker implant with major complications in other states

Questions

How much does permanent cardiac pacemaker implant with major complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 25 hospitals in Pennsylvania was billed at $190,935 on average, while the average total payment was $30,651, of which Medicare paid $26,706. 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 6.2 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.