Poisoning and toxic effects of drugs with major complications in Pennsylvania
What 15 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917), from 2024 Medicare claims.
Average charge
$107,697
Hospital list price billed
Average payment
$17,334
Medicare + patient + other payers
Medicare paid
$13,688
Average per stay
State rank
#30 of 38
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $107,697 for poisoning and toxic effects of drugs with major complications, about 6.2 times the average total payment of $17,334. That payment is 3% above the U.S. average of $16,910.
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 $17,334Billed $107,697
About 16¢ 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: poisoning and toxic effects of drugs 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 |
|---|---|---|---|---|
| Temple University HospitalPhiladelphia | 36 | $184,496 | $23,475 | $18,157 |
| UPMC Presbyterian ShadysidePittsburgh | 25 | $190,211 | $18,994 | $13,534 |
| Lehigh Valley HospitalAllentown | 23 | $84,157 | $14,872 | $11,656 |
| York HospitalYork | 20 | $54,209 | $13,329 | $11,741 |
| Lancaster General HospitalLancaster | 20 | $42,418 | $19,135 | $9,682 |
| UPMC Pinnacle HospitalsHarrisburg | 19 | $75,379 | $15,681 | $13,791 |
| Jefferson Health- NortheastPhiladelphia | 18 | $48,068 | $13,398 | $11,636 |
| Crozer Chester Medical CenterChester | 17 | $242,098 | $25,178 | $20,899 |
| Abington Memorial HospitalAbington | 17 | $54,669 | $14,254 | $10,140 |
| Reading Hospital and Med CtrWest Reading | 16 | $53,499 | $13,753 | $12,020 |
| Albert Einstein Medical CenterPhiladelphia | 14 | $33,151 | $19,754 | $16,810 |
| Penn Presbyterian Medical CenterPhiladelphia | 14 | $158,438 | $18,141 | $15,754 |
| St Mary Medical CenterLanghorne | 13 | $35,342 | $12,839 | $11,447 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 12 | $147,283 | $12,694 | $11,577 |
| Geisinger Medical CenterDanville | 11 | $113,072 | $16,025 | $12,775 |
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
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $12,694 |
|---|---|
| St Mary Medical CenterLanghorne, PA | $12,839 |
| York HospitalYork, PA | $13,329 |
| Jefferson Health- NortheastPhiladelphia, PA | $13,398 |
| Reading Hospital and Med CtrWest Reading, PA | $13,753 |
Highest
| Crozer Chester Medical CenterChester, PA | $25,178 |
|---|---|
| Temple University HospitalPhiladelphia, PA | $23,475 |
| Albert Einstein Medical CenterPhiladelphia, PA | $19,754 |
| Lancaster General HospitalLancaster, PA | $19,135 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $18,994 |
Poisoning and toxic effects of drugs with major complications in other states
Questions
How much does poisoning and toxic effects of drugs with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917) at 15 hospitals in Pennsylvania was billed at $107,697 on average, while the average total payment was $17,334, of which Medicare paid $13,688. 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.