Respiratory infections and inflammations with complications in Pennsylvania
What 64 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with complications (DRG 178), from 2024 Medicare claims.
Average charge
$50,634
Hospital list price billed
Average payment
$8,698
Medicare + patient + other payers
Medicare paid
$6,515
Average per stay
State rank
#18 of 46
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $50,634 for respiratory infections and inflammations with complications, about 5.8 times the average total payment of $8,698. That payment is 8% below the U.S. average of $9,493.
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 $8,698Billed $50,634
About 17¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: respiratory infections and inflammations with 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 | 131 | $49,849 | $9,233 | $6,928 |
| Abington Memorial HospitalAbington | 69 | $34,423 | $8,431 | $6,791 |
| Main Line Hospital PaoliPaoli | 60 | $57,555 | $6,846 | $5,670 |
| Lancaster General HospitalLancaster | 50 | $32,376 | $7,565 | $6,088 |
| Chester County HospitalWest Chester | 50 | $49,849 | $7,711 | $6,570 |
| St Mary Medical CenterLanghorne | 50 | $29,803 | $8,604 | $6,150 |
| UPMC PassavantPittsburgh | 38 | $51,927 | $7,309 | $5,075 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 38 | $56,534 | $7,602 | $6,042 |
| Reading Hospital and Med CtrWest Reading | 33 | $37,729 | $8,777 | $7,100 |
| UPMC Pinnacle HospitalsHarrisburg | 33 | $37,183 | $8,134 | $5,884 |
| Temple University HospitalPhiladelphia | 32 | $134,038 | $14,412 | $8,833 |
| York HospitalYork | 32 | $36,279 | $8,443 | $6,783 |
| St Luke's Hospital BethlehemBethlehem | 32 | $72,666 | $9,615 | $7,338 |
| Holy Spirit HospitalCamp Hill | 30 | $47,028 | $7,805 | $5,219 |
| St Luke's Hospital - Anderson CampusEaston | 30 | $54,666 | $10,647 | $7,957 |
| Robert Packer HospitalSayre | 29 | $34,274 | $9,648 | $7,174 |
| Doylestown HospitalDoylestown | 28 | $23,475 | $6,924 | $5,495 |
| Riddle Memorial HospitalMedia | 28 | $71,117 | $7,085 | $5,628 |
| Holy Redeemer Hosp and Med CtrJenkintown | 27 | $24,727 | $7,124 | $6,145 |
| Thomas Jefferson University HospitalPhiladelphia | 27 | $53,055 | $12,071 | $8,896 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 27 | $77,005 | $8,657 | $6,735 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 27 | $32,458 | $9,886 | $6,878 |
| Geisinger-Community Medical CenterScranton | 26 | $96,753 | $8,727 | $6,309 |
| Hospital of the Univ of PaPhiladelphia | 25 | $107,322 | $14,118 | $8,374 |
| Grand View HospitalSellersville | 24 | $34,369 | $6,863 | $5,711 |
| Hanover HospitalHanover | 24 | $35,069 | $8,162 | $6,598 |
| Penn State Health Hampden Medical CenterEnola | 24 | $47,186 | $14,745 | $4,078 |
| UPMC Presbyterian ShadysidePittsburgh | 23 | $97,910 | $11,245 | $7,302 |
| Mount Nittany Medical CenterState College | 22 | $33,471 | $8,533 | $7,054 |
| Chestnut Hill HospitalPhiladelphia | 21 | $128,063 | $9,493 | $7,045 |
| Chambersburg HospitalChambersburg | 21 | $25,309 | $7,863 | $6,691 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 21 | $81,233 | $10,144 | $8,404 |
| Main Line Hospital LankenauWynnewood | 20 | $62,786 | $9,790 | $7,146 |
| Lansdale HospitalLansdale | 19 | $28,134 | $6,517 | $5,146 |
| Wayne Memorial HospitalHonesdale | 19 | $36,660 | $8,390 | $7,018 |
| Northwest Medical CenterOil City | 18 | $29,277 | $7,055 | $6,135 |
| St Luke's Hospital - Monroe CampusStroudsburg | 18 | $81,588 | $7,834 | $5,656 |
| UPMC St MargaretPittsburgh | 17 | $42,302 | $8,076 | $6,194 |
| Wilkes-Barre General HospitalWilkes-Barre | 17 | $43,463 | $7,763 | $5,531 |
| Milton S Hershey Medical CenterHershey | 17 | $55,893 | $10,359 | $8,004 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 17 | $40,682 | $7,544 | $5,649 |
| Geisinger Medical CenterDanville | 16 | $106,048 | $10,814 | $7,741 |
| Evangelical Community HospitalLewisburg | 16 | $62,349 | $6,764 | $5,389 |
| Williamsport Hospital & Medical CenterWilliamsport | 16 | $33,631 | $7,225 | $6,074 |
| Hamot Medical CenterErie | 16 | $52,206 | $8,891 | $7,568 |
| Pocono Medical CenterEast Stroudsburg | 16 | $51,111 | $7,624 | $6,200 |
| Altoona Regional Health SystemAltoona | 15 | $26,044 | $7,792 | $6,336 |
| Jefferson Health- NortheastPhiladelphia | 15 | $29,386 | $8,553 | $7,172 |
| UPMC HorizonGreenville | 14 | $34,938 | $7,639 | $6,271 |
| Nazareth HospitalPhiladelphia | 14 | $37,510 | $10,080 | $8,017 |
| Jefferson Regional Medical CenterClairton | 14 | $38,091 | $6,390 | $5,224 |
| St Luke's Quakertown HospitalQuakertown | 13 | $81,242 | $9,351 | $6,751 |
| Dubois Regional Medical CenterDubois | 13 | $17,480 | $7,535 | $5,936 |
| Phoenixville HospitalPhoenixville | 13 | $48,690 | $7,791 | $5,959 |
| UPMC EastMonroeville | 13 | $66,439 | $7,338 | $5,286 |
| Saint Vincent Health CenterErie | 12 | $47,828 | $8,009 | $6,486 |
| Washington Hospital, theWashington | 12 | $11,095 | $7,268 | $6,171 |
| Gettysburg HospitalGettysburg | 12 | $37,471 | $7,580 | $6,084 |
| UPMC MemorialYork | 12 | $32,619 | $6,944 | $5,562 |
| Hazleton General HospitalHazleton | 12 | $43,514 | $7,058 | $5,698 |
| St Clair Memorial HospitalPittsburgh | 12 | $19,342 | $6,583 | $5,359 |
| Allegheny General HospitalPittsburgh | 11 | $45,843 | $10,761 | $7,555 |
| Excela Health Westmoreland Regional HospitalGreensburg | 11 | $22,915 | $7,060 | $5,876 |
| Penn State Health Lancaster Medical CenterLancaster | 11 | $44,584 | $11,195 | $4,854 |
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 | $6,390 |
|---|---|
| Lansdale HospitalLansdale, PA | $6,517 |
| St Clair Memorial HospitalPittsburgh, PA | $6,583 |
| Evangelical Community HospitalLewisburg, PA | $6,764 |
| Main Line Hospital PaoliPaoli, PA | $6,846 |
Highest
| Penn State Health Hampden Medical CenterEnola, PA | $14,745 |
|---|---|
| Temple University HospitalPhiladelphia, PA | $14,412 |
| Hospital of the Univ of PaPhiladelphia, PA | $14,118 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $12,071 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $11,245 |
Respiratory infections and inflammations with complications in other states
Questions
How much does respiratory infections and inflammations with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with complications (DRG 178) at 64 hospitals in Pennsylvania was billed at $50,634 on average, while the average total payment was $8,698, of which Medicare paid $6,515. 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.