Red blood cell disorders without major complications in Pennsylvania
What 50 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for red blood cell disorders without major complications (DRG 812), from 2024 Medicare claims.
Average charge
$53,817
Hospital list price billed
Average payment
$8,544
Medicare + patient + other payers
Medicare paid
$6,337
Average per stay
State rank
#19 of 40
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $53,817 for red blood cell disorders without major complications, about 6.3 times the average total payment of $8,544. That payment is 9% below the U.S. average of $9,427.
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 $8,544Billed $53,817
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: red blood cell disorders 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 |
|---|---|---|---|---|
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 112 | $63,601 | $9,510 | $7,644 |
| Lehigh Valley HospitalAllentown | 57 | $55,322 | $8,474 | $6,253 |
| York HospitalYork | 47 | $35,621 | $8,461 | $6,653 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 45 | $53,155 | $8,222 | $5,443 |
| St Mary Medical CenterLanghorne | 44 | $32,954 | $8,291 | $5,618 |
| Reading Hospital and Med CtrWest Reading | 42 | $44,310 | $8,037 | $6,712 |
| Abington Memorial HospitalAbington | 41 | $30,928 | $7,929 | $5,978 |
| Hospital of the Univ of PaPhiladelphia | 39 | $90,406 | $12,735 | $8,829 |
| Chester County HospitalWest Chester | 38 | $43,172 | $6,785 | $5,711 |
| UPMC Pinnacle HospitalsHarrisburg | 37 | $40,887 | $8,146 | $6,276 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 35 | $79,872 | $8,061 | $6,408 |
| St Luke's Hospital - Anderson CampusEaston | 31 | $69,244 | $10,865 | $7,666 |
| Main Line Hospital LankenauWynnewood | 29 | $60,844 | $8,264 | $6,596 |
| St Luke's Hospital - Monroe CampusStroudsburg | 28 | $75,515 | $7,153 | $5,626 |
| Main Line Hospital PaoliPaoli | 27 | $57,144 | $7,119 | $5,154 |
| UPMC Presbyterian ShadysidePittsburgh | 27 | $73,427 | $9,824 | $7,670 |
| St Luke's Hospital BethlehemBethlehem | 26 | $57,426 | $9,557 | $6,621 |
| Jefferson Health- NortheastPhiladelphia | 26 | $37,583 | $8,246 | $5,124 |
| Riddle Memorial HospitalMedia | 26 | $63,467 | $6,930 | $5,003 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 26 | $31,337 | $6,936 | $5,431 |
| Chambersburg HospitalChambersburg | 25 | $31,302 | $7,393 | $6,343 |
| Mercy Hospital ScrantonScranton | 25 | $50,625 | $6,715 | $5,333 |
| Milton S Hershey Medical CenterHershey | 25 | $69,972 | $11,843 | $8,233 |
| Doylestown HospitalDoylestown | 24 | $33,974 | $6,769 | $5,103 |
| Geisinger-Community Medical CenterScranton | 23 | $71,544 | $7,034 | $5,598 |
| Thomas Jefferson University HospitalPhiladelphia | 23 | $54,866 | $13,326 | $6,275 |
| Chestnut Hill HospitalPhiladelphia | 22 | $88,166 | $8,935 | $5,773 |
| Holy Redeemer Hosp and Med CtrJenkintown | 22 | $29,673 | $7,343 | $5,119 |
| Saint Vincent Health CenterErie | 21 | $67,715 | $8,292 | $6,909 |
| Lancaster General HospitalLancaster | 21 | $29,241 | $8,516 | $5,887 |
| Hamot Medical CenterErie | 19 | $39,888 | $8,304 | $6,725 |
| UPMC PassavantPittsburgh | 19 | $57,738 | $7,428 | $4,293 |
| Temple University HospitalPhiladelphia | 18 | $122,365 | $12,302 | $9,129 |
| Gettysburg HospitalGettysburg | 18 | $35,759 | $8,788 | $5,563 |
| Geisinger Medical CenterDanville | 17 | $83,655 | $10,122 | $7,886 |
| Pocono Medical CenterEast Stroudsburg | 17 | $49,668 | $7,306 | $6,346 |
| Phoenixville HospitalPhoenixville | 16 | $43,489 | $8,542 | $4,832 |
| Holy Spirit HospitalCamp Hill | 15 | $46,165 | $7,231 | $5,163 |
| Robert Packer HospitalSayre | 15 | $35,454 | $8,599 | $6,078 |
| Pottstown Memorial Med CenterPottstown | 15 | $66,690 | $6,662 | $4,927 |
| Crozer Chester Medical CenterChester | 15 | $63,133 | $9,172 | $7,277 |
| UPMC MemorialYork | 14 | $53,726 | $6,619 | $5,489 |
| Penn Presbyterian Medical CenterPhiladelphia | 13 | $50,276 | $9,864 | $8,450 |
| Wilkes-Barre General HospitalWilkes-Barre | 12 | $53,772 | $6,768 | $5,094 |
| Hanover HospitalHanover | 12 | $36,285 | $8,740 | $5,090 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 12 | $32,952 | $8,775 | $7,034 |
| Grand View HospitalSellersville | 11 | $31,404 | $6,384 | $5,346 |
| St Joseph Medical CenterReading | 11 | $54,313 | $7,816 | $5,753 |
| Conemaugh Valley Memorial HospitalJohnstown | 11 | $27,574 | $8,510 | $7,263 |
| Excela Health Westmoreland Regional HospitalGreensburg | 11 | $21,474 | $6,530 | $5,194 |
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
| Grand View HospitalSellersville, PA | $6,384 |
|---|---|
| Excela Health Westmoreland Regional HospitalGreensburg, PA | $6,530 |
| UPMC MemorialYork, PA | $6,619 |
| Pottstown Memorial Med CenterPottstown, PA | $6,662 |
| Mercy Hospital ScrantonScranton, PA | $6,715 |
Highest
| Thomas Jefferson University HospitalPhiladelphia, PA | $13,326 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $12,735 |
| Temple University HospitalPhiladelphia, PA | $12,302 |
| Milton S Hershey Medical CenterHershey, PA | $11,843 |
| St Luke's Hospital - Anderson CampusEaston, PA | $10,865 |
Red blood cell disorders without major complications in other states
Questions
How much does red blood cell disorders without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for red blood cell disorders without major complications (DRG 812) at 50 hospitals in Pennsylvania was billed at $53,817 on average, while the average total payment was $8,544, of which Medicare paid $6,337. 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 6.3 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.