Psychoses in Pennsylvania
What 29 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for psychoses (DRG 885), from 2024 Medicare claims.
Average charge
$64,157
Hospital list price billed
Average payment
$13,287
Medicare + patient + other payers
Medicare paid
$9,654
Average per stay
State rank
#21 of 41
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $64,157 for psychoses, about 4.8 times the average total payment of $13,287. That payment is 7% below the U.S. average of $14,304.
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 $13,287Billed $64,157
About 21¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Pennsylvania hospitals: psychoses
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 | 95 | $80,317 | $14,693 | $8,670 |
| St Luke's Hospital BethlehemBethlehem | 92 | $200,947 | $15,834 | $10,096 |
| Saint Vincent Health CenterErie | 54 | $32,657 | $12,564 | $10,866 |
| Altoona Regional Health SystemAltoona | 53 | $41,888 | $10,213 | $8,539 |
| Excela Health Westmoreland Regional HospitalGreensburg | 52 | $28,156 | $10,069 | $8,136 |
| Hospital of the Univ of PaPhiladelphia | 51 | $159,284 | $26,299 | $14,242 |
| St Luke's Quakertown HospitalQuakertown | 50 | $153,085 | $13,474 | $8,984 |
| Highlands HospitalConnellsville | 48 | $13,707 | $10,672 | $9,218 |
| Dubois Regional Medical CenterDubois | 43 | $21,094 | $10,677 | $7,965 |
| Lewistown HospitalLewistown | 40 | $24,253 | $11,378 | $9,323 |
| Millcreek Community HospitalErie | 39 | $27,899 | $14,800 | $11,603 |
| Sharon Regional Health SystemSharon | 38 | $33,480 | $9,652 | $7,793 |
| UPMC McKeesportMcKeesport | 37 | $68,028 | $15,519 | $12,052 |
| Pocono Medical CenterEast Stroudsburg | 37 | $76,996 | $12,566 | $9,689 |
| Robert Packer HospitalSayre | 36 | $34,679 | $14,238 | $10,546 |
| Williamsport Hospital & Medical CenterWilliamsport | 31 | $44,835 | $10,009 | $7,927 |
| Somerset HospitalSomerset | 30 | $20,722 | $10,882 | $9,037 |
| Butler Health SystemButler | 30 | $20,816 | $9,932 | $8,490 |
| Meadville Medical CenterMeadville | 29 | $17,981 | $10,728 | $7,977 |
| Penn Highlands HuntingdonHuntingdon | 28 | $18,672 | $10,579 | $9,472 |
| Warren General HospitalWarren | 23 | $21,390 | $12,521 | $11,209 |
| Abington Memorial HospitalAbington | 23 | $50,472 | $12,454 | $8,416 |
| Monongahela Valley HospitalMonongahela | 22 | $26,187 | $10,043 | $8,047 |
| Reading Hospital and Med CtrWest Reading | 21 | $54,037 | $12,555 | $10,891 |
| Albert Einstein Medical CenterPhiladelphia | 20 | $68,732 | $24,047 | $14,282 |
| ACMH HospitalKittanning | 20 | $20,306 | $10,784 | $9,193 |
| Northwest Medical CenterOil City | 16 | $46,445 | $12,972 | $8,165 |
| Conemaugh Valley Memorial HospitalJohnstown | 15 | $46,653 | $15,398 | $9,774 |
| Jefferson Health- NortheastPhiladelphia | 11 | $38,732 | $12,185 | $10,199 |
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
| Sharon Regional Health SystemSharon, PA | $9,652 |
|---|---|
| Butler Health SystemButler, PA | $9,932 |
| Williamsport Hospital & Medical CenterWilliamsport, PA | $10,009 |
| Monongahela Valley HospitalMonongahela, PA | $10,043 |
| Excela Health Westmoreland Regional HospitalGreensburg, PA | $10,069 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $26,299 |
|---|---|
| Albert Einstein Medical CenterPhiladelphia, PA | $24,047 |
| St Luke's Hospital BethlehemBethlehem, PA | $15,834 |
| UPMC McKeesportMcKeesport, PA | $15,519 |
| Conemaugh Valley Memorial HospitalJohnstown, PA | $15,398 |
Psychoses in other states
Questions
How much does psychoses cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for psychoses (DRG 885) at 29 hospitals in Pennsylvania was billed at $64,157 on average, while the average total payment was $13,287, of which Medicare paid $9,654. 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 4.8 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.