Pulmonary embolism without major complications in Pennsylvania
What 35 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$50,172
Hospital list price billed
Average payment
$7,713
Medicare + patient + other payers
Medicare paid
$5,397
Average per stay
State rank
#19 of 39
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $50,172 for pulmonary embolism without major complications, about 6.5 times the average total payment of $7,713. That payment is 7% below the U.S. average of $8,294.
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 $7,713Billed $50,172
About 15¢ 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 without 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 | 48 | $47,709 | $7,927 | $5,252 |
| St Luke's Hospital BethlehemBethlehem | 26 | $80,617 | $10,166 | $5,022 |
| York HospitalYork | 25 | $43,970 | $9,288 | $5,480 |
| St Mary Medical CenterLanghorne | 25 | $28,223 | $7,247 | $4,763 |
| Main Line Hospital PaoliPaoli | 23 | $64,115 | $5,816 | $4,744 |
| Doylestown HospitalDoylestown | 23 | $27,909 | $5,839 | $4,304 |
| Temple University HospitalPhiladelphia | 22 | $89,934 | $11,014 | $8,262 |
| UPMC Pinnacle HospitalsHarrisburg | 22 | $42,454 | $7,768 | $5,176 |
| Abington Memorial HospitalAbington | 22 | $32,529 | $7,153 | $5,417 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 22 | $69,405 | $7,812 | $5,559 |
| Chester County HospitalWest Chester | 21 | $36,461 | $6,099 | $4,606 |
| Reading Hospital and Med CtrWest Reading | 19 | $36,802 | $7,224 | $5,724 |
| UPMC Presbyterian ShadysidePittsburgh | 19 | $67,982 | $8,340 | $5,872 |
| Lancaster General HospitalLancaster | 18 | $28,387 | $6,584 | $5,207 |
| Hospital of the Univ of PaPhiladelphia | 17 | $91,394 | $11,463 | $7,744 |
| Geisinger-Community Medical CenterScranton | 16 | $58,362 | $7,362 | $4,879 |
| Thomas Jefferson University HospitalPhiladelphia | 16 | $46,555 | $9,926 | $7,156 |
| Main Line Hospital LankenauWynnewood | 16 | $64,361 | $7,658 | $5,956 |
| St Luke's Hospital - Anderson CampusEaston | 15 | $68,710 | $11,284 | $5,942 |
| Heritage Valley SewickleySewickley | 14 | $14,231 | $5,940 | $4,769 |
| UPMC PassavantPittsburgh | 14 | $44,598 | $5,497 | $4,173 |
| St Luke's Hospital - Monroe CampusStroudsburg | 14 | $73,319 | $6,782 | $4,573 |
| Geisinger Medical CenterDanville | 13 | $71,512 | $8,886 | $6,919 |
| Uniontown HospitalUniontown | 13 | $22,398 | $6,152 | $5,148 |
| Allegheny General HospitalPittsburgh | 13 | $32,542 | $8,554 | $6,065 |
| Grand View HospitalSellersville | 13 | $32,916 | $5,897 | $4,197 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 13 | $53,489 | $6,470 | $5,008 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 13 | $29,765 | $6,205 | $5,034 |
| Evangelical Community HospitalLewisburg | 12 | $38,181 | $5,523 | $4,027 |
| Hamot Medical CenterErie | 12 | $54,175 | $8,064 | $5,258 |
| Pottstown Memorial Med CenterPottstown | 12 | $57,477 | $5,856 | $4,904 |
| Pocono Medical CenterEast Stroudsburg | 12 | $60,060 | $6,583 | $5,223 |
| Jefferson Health- NortheastPhiladelphia | 11 | $25,069 | $7,815 | $5,166 |
| Riddle Memorial HospitalMedia | 11 | $56,240 | $5,843 | $4,656 |
| Milton S Hershey Medical CenterHershey | 11 | $42,338 | $10,106 | $6,361 |
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
| UPMC PassavantPittsburgh, PA | $5,497 |
|---|---|
| Evangelical Community HospitalLewisburg, PA | $5,523 |
| Main Line Hospital PaoliPaoli, PA | $5,816 |
| Doylestown HospitalDoylestown, PA | $5,839 |
| Riddle Memorial HospitalMedia, PA | $5,843 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $11,463 |
|---|---|
| St Luke's Hospital - Anderson CampusEaston, PA | $11,284 |
| Temple University HospitalPhiladelphia, PA | $11,014 |
| St Luke's Hospital BethlehemBethlehem, PA | $10,166 |
| Milton S Hershey Medical CenterHershey, PA | $10,106 |
Pulmonary embolism without major complications in other states
Questions
How much does pulmonary embolism without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 35 hospitals in Pennsylvania was billed at $50,172 on average, while the average total payment was $7,713, of which Medicare paid $5,397. 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 6.5 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.