facebook tracking Respiratory infections and inflammations with major complications cost in Pennsylvania: 109 hospitals compared (DRG 177)

Respiratory infections and inflammations with major complications in Pennsylvania

What 109 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with major complications (DRG 177), from 2024 Medicare claims.

DRG 177 Inpatient 2024 Medicare data
Average charge $72,498 Hospital list price billed
Average payment $14,056 Medicare + patient + other payers
Medicare paid $11,675 Average per stay
State rank #24 of 50 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $72,498 for respiratory infections and inflammations with major complications, about 5.2 times the average total payment of $14,056. That payment is 6% below the U.S. average of $14,949.

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 $14,056Billed $72,498

About 19¢ 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 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 243 $85,185 $14,728 $12,135
Lancaster General HospitalLancaster 204 $41,364 $12,708 $11,055
Abington Memorial HospitalAbington 154 $47,598 $14,058 $12,016
Main Line Hospital PaoliPaoli 152 $94,953 $11,563 $10,444
Geisinger-Community Medical CenterScranton 126 $127,721 $13,134 $11,019
Chester County HospitalWest Chester 124 $57,751 $11,599 $10,362
Geisinger Wyoming Vly Med CtrWilkes-Barre 124 $105,908 $13,640 $11,427
Reading Hospital and Med CtrWest Reading 117 $58,609 $14,552 $12,388
St Mary Medical CenterLanghorne 114 $47,728 $13,079 $11,099
Main Line Hospital Bryn Mawr CampusBryn Mawr 104 $79,636 $12,753 $10,747
UPMC Presbyterian ShadysidePittsburgh 103 $177,336 $18,660 $14,576
Jefferson Einstein Montgomery HospitalEast Norriton 101 $48,846 $15,692 $12,725
Main Line Hospital LankenauWynnewood 97 $94,363 $14,471 $12,344
Geisinger Medical CenterDanville 93 $99,691 $17,616 $13,716
Doylestown HospitalDoylestown 92 $43,481 $11,469 $10,316
Robert Packer HospitalSayre 91 $53,589 $14,665 $12,188
Mercy Hospital ScrantonScranton 90 $69,175 $12,087 $10,049
Milton S Hershey Medical CenterHershey 90 $71,330 $18,038 $14,585
St Luke's Hospital - Anderson CampusEaston 90 $89,173 $17,365 $13,197
Chambersburg HospitalChambersburg 86 $41,340 $12,897 $11,339
Holy Spirit HospitalCamp Hill 85 $57,408 $11,479 $9,523
York HospitalYork 85 $52,200 $16,146 $11,016
St Luke's Hospital BethlehemBethlehem 85 $116,657 $15,365 $13,376
UPMC Pinnacle HospitalsHarrisburg 85 $59,442 $14,747 $11,434
UPMC PassavantPittsburgh 82 $80,101 $11,154 $9,533
Temple University HospitalPhiladelphia 79 $225,191 $22,076 $17,134
Conemaugh Valley Memorial HospitalJohnstown 79 $42,303 $15,988 $14,130
Hospital of the Univ of PaPhiladelphia 79 $223,321 $28,086 $20,742
Grand View HospitalSellersville 76 $54,236 $11,857 $10,576
Jefferson Health- NortheastPhiladelphia 72 $48,376 $13,880 $11,005
Wilkes-Barre General HospitalWilkes-Barre 72 $72,837 $11,827 $9,809
Hanover HospitalHanover 71 $54,214 $14,698 $11,349
Altoona Regional Health SystemAltoona 67 $49,017 $12,959 $11,567
Williamsport Hospital & Medical CenterWilliamsport 65 $60,393 $12,184 $10,882
Chestnut Hill HospitalPhiladelphia 62 $171,195 $15,682 $13,198
St Clair Memorial HospitalPittsburgh 62 $28,698 $10,632 $8,876
Holy Redeemer Hosp and Med CtrJenkintown 61 $40,968 $12,312 $11,248
Jefferson Regional Medical CenterClairton 61 $61,364 $10,951 $9,468
Penn State Health Hampden Medical CenterEnola 60 $53,940 $17,216 $9,364
Crozer Chester Medical CenterChester 59 $123,799 $15,552 $13,175
Mount Nittany Medical CenterState College 58 $43,711 $14,935 $12,948
Hamot Medical CenterErie 56 $99,099 $14,868 $12,780
Riddle Memorial HospitalMedia 56 $84,446 $11,434 $10,298
Western Pennsylvania Hosp Forbes Regional CampusMonroeville 56 $59,480 $12,100 $10,194
Thomas Jefferson University HospitalPhiladelphia 52 $85,528 $20,963 $16,598
Nazareth HospitalPhiladelphia 52 $51,676 $16,076 $12,566
Allegheny General HospitalPittsburgh 50 $97,041 $18,927 $12,380
Saint Vincent Health CenterErie 48 $81,997 $13,751 $12,192
UPMC St MargaretPittsburgh 47 $72,493 $13,564 $10,419
UPMC EastMonroeville 47 $82,250 $11,401 $10,103
Lansdale HospitalLansdale 46 $42,558 $11,160 $9,693
St Luke's Hospital - Monroe CampusStroudsburg 46 $95,366 $11,841 $10,647
Evangelical Community HospitalLewisburg 45 $68,835 $11,129 $9,410
Albert Einstein Medical CenterPhiladelphia 42 $54,466 $20,496 $15,950
Dubois Regional Medical CenterDubois 41 $21,093 $12,155 $10,716
Wayne Memorial HospitalHonesdale 41 $46,600 $14,242 $13,406
Heritage Valley BeaverBeaver 40 $26,785 $12,300 $10,986
Gettysburg HospitalGettysburg 39 $45,727 $12,718 $11,507
Pottstown Memorial Med CenterPottstown 39 $72,012 $11,153 $9,610
Geisinger St. Luke's HospitalOrwigsburg 39 $67,779 $10,688 $9,345
Schuylkill Medical Center - South Jackson StreetPottsville 38 $62,060 $13,022 $10,802
Butler Health SystemButler 38 $34,371 $11,410 $10,166
Uniontown HospitalUniontown 36 $33,809 $11,650 $10,611
Northwest Medical CenterOil City 36 $42,441 $11,166 $9,805
St Joseph Medical CenterReading 36 $59,980 $13,521 $10,951
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 36 $105,427 $16,240 $14,498
Lewistown HospitalLewistown 35 $50,311 $13,707 $10,995
Pocono Medical CenterEast Stroudsburg 35 $78,433 $13,369 $11,295
Phoenixville HospitalPhoenixville 34 $62,797 $13,453 $11,476
Penn State Health Lancaster Medical CenterLancaster 34 $57,001 $15,839 $9,984
St Luke's Hospital - Carbon CampusLehighton 32 $114,501 $12,386 $9,936
AHN Wexford HospitalWexford 31 $43,681 $11,390 $9,475
St Luke's Quakertown HospitalQuakertown 30 $107,224 $14,911 $12,189
Bloomsburg HospitalBloomsburg 28 $51,288 $13,544 $10,634
Excela Health Westmoreland Regional HospitalGreensburg 28 $31,588 $11,050 $10,044
Hazleton General HospitalHazleton 27 $51,392 $11,245 $10,036
Latrobe Area HospitalLatrobe 27 $29,414 $12,040 $10,347
Washington Hospital, theWashington 26 $18,145 $12,330 $10,472
Good Samaritan HospitalLebanon 24 $37,178 $12,612 $11,252
UPMC MemorialYork 24 $44,825 $11,094 $7,773
Waynesboro HospitalWaynesboro 24 $42,071 $14,505 $13,182
Meadville Medical CenterMeadville 23 $39,855 $12,786 $11,378
Jameson Memorial HospitalNew Castle 22 $24,534 $11,126 $9,377
UPMC MercyPittsburgh 22 $66,952 $16,216 $13,107
Carlisle Regional Medical CtrCarlisle 22 $48,228 $11,146 $9,960
Penn Presbyterian Medical CenterPhiladelphia 21 $103,088 $17,924 $15,849
Sharon Regional Health SystemSharon 20 $43,148 $11,213 $9,730
Heritage Valley SewickleySewickley 19 $26,070 $10,721 $9,457
Mercy Health SystemConshohocken 19 $61,517 $19,265 $15,066
Lehigh Valley Hospital - Dickson CityDickson City 19 $69,974 $12,370 $8,717
Monongahela Valley HospitalMonongahela 18 $31,901 $11,372 $10,080
UPMC HorizonGreenville 18 $50,313 $11,412 $10,158
Lower Bucks HospitalBristol 17 $66,764 $15,719 $13,401
Canonsburg General HospitalCanonsburg 17 $75,758 $11,794 $10,620
UPMC BedfordEverett 16 $32,605 $13,262 $12,244
Indiana Regional Medical CenterIndiana 16 $36,490 $11,978 $10,709
St Luke's Miners Memorial HospitalCoaldale 16 $75,844 $15,225 $12,286
Roxborough Memorial HospitalPhiladelphia 16 $64,633 $14,326 $12,302
UPMC McKeesportMcKeesport 15 $48,793 $13,860 $9,696
Easton HospitalEaston 15 $78,996 $13,371 $12,427
Allegheny Valley HospitalNatrona Heights 14 $57,793 $11,416 $9,599
Somerset HospitalSomerset 14 $25,982 $12,925 $11,878
ACMH HospitalKittanning 14 $40,671 $13,639 $12,593
UPMC LititzLititz 13 $41,818 $12,041 $10,585
West Penn HospitalPittsburgh 13 $73,661 $14,233 $12,199
Warren General HospitalWarren 13 $18,911 $14,496 $13,367
Ephrata Community HospitalEphrata 12 $49,180 $11,044 $9,548
Penn Highlands HuntingdonHuntingdon 11 $16,726 $12,970 $11,783
Clarion HospitalClarion 11 $19,121 $15,984 $13,863
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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

St Clair Memorial HospitalPittsburgh, PA$10,632
Geisinger St. Luke's HospitalOrwigsburg, PA$10,688
Heritage Valley SewickleySewickley, PA$10,721
Jefferson Regional Medical CenterClairton, PA$10,951
Ephrata Community HospitalEphrata, PA$11,044

Highest

Hospital of the Univ of PaPhiladelphia, PA$28,086
Temple University HospitalPhiladelphia, PA$22,076
Thomas Jefferson University HospitalPhiladelphia, PA$20,963
Albert Einstein Medical CenterPhiladelphia, PA$20,496
Mercy Health SystemConshohocken, PA$19,265

Respiratory infections and inflammations with major complications in other states

Questions

How much does respiratory infections and inflammations with major complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with major complications (DRG 177) at 109 hospitals in Pennsylvania was billed at $72,498 on average, while the average total payment was $14,056, of which Medicare paid $11,675. 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 5.2 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.