Red blood cell disorders with major complications in Pennsylvania
What 47 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for red blood cell disorders with major complications (DRG 811), from 2024 Medicare claims.
Average charge
$78,222
Hospital list price billed
Average payment
$13,465
Medicare + patient + other payers
Medicare paid
$10,906
Average per stay
State rank
#26 of 43
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $78,222 for red blood cell disorders with major complications, about 5.8 times the average total payment of $13,465. That payment is 4% below the U.S. average of $14,033.
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 $13,465Billed $78,222
About 17¢ 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: red blood cell disorders 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 | 49 | $80,568 | $12,428 | $10,457 |
| Abington Memorial HospitalAbington | 41 | $57,899 | $12,876 | $10,555 |
| York HospitalYork | 36 | $44,184 | $12,923 | $10,487 |
| St Luke's Hospital BethlehemBethlehem | 35 | $109,321 | $13,867 | $11,710 |
| UPMC Pinnacle HospitalsHarrisburg | 33 | $54,658 | $12,180 | $10,377 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 30 | $71,437 | $11,038 | $9,881 |
| Main Line Hospital LankenauWynnewood | 27 | $73,542 | $13,232 | $10,596 |
| Reading Hospital and Med CtrWest Reading | 26 | $53,782 | $12,394 | $11,226 |
| Temple University HospitalPhiladelphia | 25 | $110,312 | $17,391 | $13,689 |
| Thomas Jefferson University HospitalPhiladelphia | 25 | $109,238 | $21,148 | $15,580 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 25 | $110,479 | $15,199 | $11,742 |
| Riddle Memorial HospitalMedia | 24 | $71,322 | $10,464 | $8,585 |
| Hospital of the Univ of PaPhiladelphia | 23 | $252,252 | $29,831 | $18,226 |
| Chambersburg HospitalChambersburg | 23 | $42,884 | $12,219 | $9,682 |
| Doylestown HospitalDoylestown | 23 | $36,656 | $10,065 | $9,304 |
| Geisinger-Community Medical CenterScranton | 22 | $139,388 | $13,157 | $11,454 |
| Jefferson Health- NortheastPhiladelphia | 21 | $47,280 | $12,508 | $10,077 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 21 | $132,164 | $12,001 | $9,910 |
| Chestnut Hill HospitalPhiladelphia | 20 | $126,133 | $13,405 | $11,511 |
| Lancaster General HospitalLancaster | 20 | $39,123 | $14,114 | $9,121 |
| Jefferson Regional Medical CenterClairton | 20 | $61,184 | $9,524 | $8,545 |
| Mercy Hospital ScrantonScranton | 19 | $63,775 | $10,280 | $8,813 |
| Geisinger Medical CenterDanville | 18 | $114,108 | $15,798 | $11,638 |
| Main Line Hospital PaoliPaoli | 17 | $65,516 | $10,013 | $9,140 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 17 | $45,075 | $12,880 | $11,154 |
| Milton S Hershey Medical CenterHershey | 16 | $109,911 | $21,283 | $17,424 |
| St Mary Medical CenterLanghorne | 16 | $44,498 | $11,413 | $10,108 |
| UPMC Presbyterian ShadysidePittsburgh | 15 | $134,345 | $14,594 | $11,428 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 15 | $54,698 | $10,748 | $9,231 |
| St Luke's Hospital - Anderson CampusEaston | 15 | $105,615 | $16,008 | $12,029 |
| St Luke's Hospital - Monroe CampusStroudsburg | 15 | $95,073 | $9,930 | $8,987 |
| Conemaugh Valley Memorial HospitalJohnstown | 14 | $39,263 | $13,367 | $11,957 |
| Excela Health Westmoreland Regional HospitalGreensburg | 14 | $26,791 | $10,054 | $7,961 |
| Chester County HospitalWest Chester | 14 | $36,425 | $10,396 | $9,347 |
| Robert Packer HospitalSayre | 13 | $57,107 | $14,077 | $10,568 |
| Crozer Chester Medical CenterChester | 13 | $97,798 | $13,692 | $11,658 |
| Nazareth HospitalPhiladelphia | 13 | $48,712 | $13,180 | $10,694 |
| Williamsport Hospital & Medical CenterWilliamsport | 12 | $54,296 | $9,627 | $8,110 |
| Grand View HospitalSellersville | 12 | $52,272 | $10,769 | $8,519 |
| Gettysburg HospitalGettysburg | 12 | $42,654 | $10,646 | $9,558 |
| Mercy Health SystemConshohocken | 12 | $51,228 | $17,545 | $12,831 |
| Uniontown HospitalUniontown | 11 | $26,819 | $11,280 | $7,425 |
| Allegheny General HospitalPittsburgh | 11 | $94,702 | $14,592 | $11,438 |
| Good Samaritan HospitalLebanon | 11 | $32,322 | $10,377 | $9,445 |
| Wilkes-Barre General HospitalWilkes-Barre | 11 | $77,317 | $10,366 | $8,925 |
| Albert Einstein Medical CenterPhiladelphia | 11 | $56,956 | $18,275 | $14,294 |
| Penn Presbyterian Medical CenterPhiladelphia | 11 | $124,221 | $16,336 | $14,371 |
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
| Jefferson Regional Medical CenterClairton, PA | $9,524 |
|---|---|
| Williamsport Hospital & Medical CenterWilliamsport, PA | $9,627 |
| St Luke's Hospital - Monroe CampusStroudsburg, PA | $9,930 |
| Main Line Hospital PaoliPaoli, PA | $10,013 |
| Excela Health Westmoreland Regional HospitalGreensburg, PA | $10,054 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $29,831 |
|---|---|
| Milton S Hershey Medical CenterHershey, PA | $21,283 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $21,148 |
| Albert Einstein Medical CenterPhiladelphia, PA | $18,275 |
| Mercy Health SystemConshohocken, PA | $17,545 |
Red blood cell disorders with major complications in other states
Questions
How much does red blood cell disorders with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for red blood cell disorders with major complications (DRG 811) at 47 hospitals in Pennsylvania was billed at $78,222 on average, while the average total payment was $13,465, of which Medicare paid $10,906. 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 5.8 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.