Respiratory neoplasms with major complications in Pennsylvania
What 19 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for respiratory neoplasms with major complications (DRG 180), from 2024 Medicare claims.
Average charge
$106,062
Hospital list price billed
Average payment
$16,673
Medicare + patient + other payers
Medicare paid
$13,476
Average per stay
State rank
#19 of 35
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $106,062 for respiratory neoplasms with major complications, about 6.4 times the average total payment of $16,673. That payment is 8% below the U.S. average of $18,205.
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 $16,673Billed $106,062
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: respiratory neoplasms 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 | 31 | $83,988 | $15,349 | $13,497 |
| Geisinger-Community Medical CenterScranton | 25 | $124,191 | $13,575 | $12,494 |
| Lancaster General HospitalLancaster | 24 | $73,913 | $15,917 | $12,094 |
| St Luke's Hospital BethlehemBethlehem | 23 | $122,124 | $17,740 | $13,747 |
| Abington Memorial HospitalAbington | 20 | $67,091 | $14,732 | $13,228 |
| Hospital of the Univ of PaPhiladelphia | 18 | $182,410 | $23,827 | $17,133 |
| UPMC Presbyterian ShadysidePittsburgh | 18 | $282,061 | $22,002 | $13,994 |
| Main Line Hospital LankenauWynnewood | 18 | $87,497 | $15,726 | $13,990 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 17 | $153,955 | $16,553 | $11,710 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 17 | $53,368 | $16,748 | $14,107 |
| Geisinger Medical CenterDanville | 15 | $123,265 | $19,447 | $14,631 |
| UPMC Pinnacle HospitalsHarrisburg | 15 | $72,480 | $14,245 | $12,424 |
| Jefferson Health- NortheastPhiladelphia | 15 | $78,777 | $16,086 | $14,211 |
| Robert Packer HospitalSayre | 14 | $58,031 | $16,321 | $14,358 |
| Chester County HospitalWest Chester | 13 | $55,928 | $12,826 | $12,073 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 13 | $125,855 | $17,141 | $15,253 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 12 | $91,169 | $13,695 | $12,108 |
| Thomas Jefferson University HospitalPhiladelphia | 11 | $58,224 | $23,361 | $13,383 |
| Doylestown HospitalDoylestown | 11 | $79,949 | $12,907 | $11,520 |
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
| Chester County HospitalWest Chester, PA | $12,826 |
|---|---|
| Doylestown HospitalDoylestown, PA | $12,907 |
| Geisinger-Community Medical CenterScranton, PA | $13,575 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr, PA | $13,695 |
| UPMC Pinnacle HospitalsHarrisburg, PA | $14,245 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $23,827 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $23,361 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $22,002 |
| Geisinger Medical CenterDanville, PA | $19,447 |
| St Luke's Hospital BethlehemBethlehem, PA | $17,740 |
Respiratory neoplasms with major complications in other states
Questions
How much does respiratory neoplasms with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for respiratory neoplasms with major complications (DRG 180) at 19 hospitals in Pennsylvania was billed at $106,062 on average, while the average total payment was $16,673, of which Medicare paid $13,476. 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 6.4 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.