Pulmonary embolism with major complications or acute cor pulmonale in Pennsylvania
What 43 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$79,874
Hospital list price billed
Average payment
$12,938
Medicare + patient + other payers
Medicare paid
$10,173
Average per stay
State rank
#26 of 48
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $79,874 for pulmonary embolism with major complications or acute cor pulmonale, about 6.2 times the average total payment of $12,938. That payment is 4% below the U.S. average of $13,466.
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 $12,938Billed $79,874
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: pulmonary embolism with major complications or acute cor pulmonale
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 | 83 | $92,227 | $12,794 | $10,064 |
| Lancaster General HospitalLancaster | 38 | $44,093 | $11,902 | $9,692 |
| Abington Memorial HospitalAbington | 38 | $54,267 | $12,604 | $9,354 |
| Reading Hospital and Med CtrWest Reading | 36 | $52,893 | $11,602 | $10,183 |
| Hospital of the Univ of PaPhiladelphia | 35 | $160,990 | $20,309 | $14,617 |
| Main Line Hospital PaoliPaoli | 33 | $84,685 | $9,869 | $8,357 |
| St Luke's Hospital BethlehemBethlehem | 32 | $110,784 | $13,725 | $11,686 |
| UPMC Presbyterian ShadysidePittsburgh | 31 | $175,831 | $15,436 | $10,667 |
| Chester County HospitalWest Chester | 31 | $48,469 | $9,501 | $8,554 |
| UPMC Pinnacle HospitalsHarrisburg | 30 | $59,606 | $13,033 | $10,176 |
| York HospitalYork | 29 | $56,620 | $13,126 | $9,567 |
| Main Line Hospital LankenauWynnewood | 28 | $83,872 | $12,883 | $11,025 |
| Geisinger Medical CenterDanville | 26 | $95,886 | $14,532 | $11,388 |
| Jefferson Health- NortheastPhiladelphia | 24 | $44,972 | $11,928 | $9,592 |
| St Mary Medical CenterLanghorne | 24 | $49,939 | $11,677 | $9,193 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 23 | $128,852 | $14,611 | $9,039 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 22 | $73,369 | $11,822 | $9,243 |
| Geisinger-Community Medical CenterScranton | 20 | $106,572 | $12,148 | $8,084 |
| Allegheny General HospitalPittsburgh | 20 | $58,646 | $14,756 | $11,032 |
| Hamot Medical CenterErie | 19 | $85,196 | $12,895 | $11,294 |
| Chambersburg HospitalChambersburg | 19 | $32,479 | $10,694 | $9,194 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 19 | $68,312 | $13,533 | $10,912 |
| Doylestown HospitalDoylestown | 18 | $43,532 | $9,885 | $8,104 |
| Temple University HospitalPhiladelphia | 17 | $167,906 | $17,937 | $14,066 |
| Pocono Medical CenterEast Stroudsburg | 17 | $64,228 | $10,862 | $9,376 |
| Mount Nittany Medical CenterState College | 17 | $44,651 | $12,720 | $11,132 |
| St Luke's Hospital - Anderson CampusEaston | 17 | $118,724 | $18,496 | $10,303 |
| Penn Presbyterian Medical CenterPhiladelphia | 16 | $152,035 | $15,884 | $13,313 |
| Hanover HospitalHanover | 16 | $58,053 | $11,480 | $10,460 |
| Holy Spirit HospitalCamp Hill | 15 | $62,070 | $9,273 | $8,255 |
| Thomas Jefferson University HospitalPhiladelphia | 14 | $66,062 | $15,795 | $12,667 |
| Milton S Hershey Medical CenterHershey | 14 | $52,035 | $14,968 | $12,514 |
| Uniontown HospitalUniontown | 13 | $28,211 | $9,642 | $8,387 |
| Conemaugh Valley Memorial HospitalJohnstown | 13 | $41,293 | $13,463 | $11,323 |
| Phoenixville HospitalPhoenixville | 13 | $61,614 | $10,769 | $9,255 |
| Nazareth HospitalPhiladelphia | 13 | $45,156 | $14,263 | $12,210 |
| St Luke's Quakertown HospitalQuakertown | 12 | $117,358 | $12,643 | $9,683 |
| Gettysburg HospitalGettysburg | 12 | $43,754 | $12,604 | $8,031 |
| St Joseph Medical CenterReading | 12 | $49,797 | $11,496 | $9,585 |
| Riddle Memorial HospitalMedia | 12 | $80,439 | $11,350 | $7,887 |
| Grand View HospitalSellersville | 11 | $46,595 | $9,703 | $8,516 |
| AHN Wexford HospitalWexford | 11 | $46,142 | $10,438 | $7,916 |
| St Luke's Hospital - Carbon CampusLehighton | 11 | $159,054 | $12,437 | $8,181 |
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
| Holy Spirit HospitalCamp Hill, PA | $9,273 |
|---|---|
| Chester County HospitalWest Chester, PA | $9,501 |
| Uniontown HospitalUniontown, PA | $9,642 |
| Grand View HospitalSellersville, PA | $9,703 |
| Main Line Hospital PaoliPaoli, PA | $9,869 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $20,309 |
|---|---|
| St Luke's Hospital - Anderson CampusEaston, PA | $18,496 |
| Temple University HospitalPhiladelphia, PA | $17,937 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $15,884 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $15,795 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 43 hospitals in Pennsylvania was billed at $79,874 on average, while the average total payment was $12,938, of which Medicare paid $10,173. 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.