Respiratory system diagnosis with ventilator support >96 hours in Pennsylvania
What 13 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207), from 2024 Medicare claims.
Average charge
$437,449
Hospital list price billed
Average payment
$73,590
Medicare + patient + other payers
Medicare paid
$64,321
Average per stay
State rank
#23 of 28
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $437,449 for respiratory system diagnosis with ventilator support >96 hours, about 5.9 times the average total payment of $73,590. That payment is 13% above the U.S. average of $65,323.
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 $73,590Billed $437,449
About 17¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Pennsylvania hospitals: respiratory system diagnosis with ventilator support >96 hours
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 |
|---|---|---|---|---|
| Temple University HospitalPhiladelphia | 43 | $558,315 | $70,149 | $58,761 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 23 | $183,843 | $60,904 | $52,332 |
| Lehigh Valley HospitalAllentown | 21 | $485,352 | $62,168 | $58,626 |
| Chestnut Hill HospitalPhiladelphia | 20 | $431,909 | $44,277 | $40,262 |
| Thomas Jefferson University HospitalPhiladelphia | 20 | $241,035 | $71,052 | $61,154 |
| Hospital of the Univ of PaPhiladelphia | 18 | $1,198,680 | $204,028 | $183,869 |
| Reading Hospital and Med CtrWest Reading | 13 | $211,137 | $58,174 | $54,966 |
| Allegheny General HospitalPittsburgh | 13 | $251,050 | $64,387 | $55,451 |
| Hamot Medical CenterErie | 13 | $344,723 | $54,192 | $44,428 |
| UPMC Presbyterian ShadysidePittsburgh | 12 | $776,592 | $73,244 | $63,744 |
| Abington Memorial HospitalAbington | 12 | $181,167 | $50,180 | $40,772 |
| Lancaster General HospitalLancaster | 11 | $236,071 | $55,898 | $52,442 |
| Albert Einstein Medical CenterPhiladelphia | 11 | $233,652 | $75,464 | $59,124 |
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
| Chestnut Hill HospitalPhiladelphia, PA | $44,277 |
|---|---|
| Abington Memorial HospitalAbington, PA | $50,180 |
| Hamot Medical CenterErie, PA | $54,192 |
| Lancaster General HospitalLancaster, PA | $55,898 |
| Reading Hospital and Med CtrWest Reading, PA | $58,174 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $204,028 |
|---|---|
| Albert Einstein Medical CenterPhiladelphia, PA | $75,464 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $73,244 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $71,052 |
| Temple University HospitalPhiladelphia, PA | $70,149 |
Respiratory system diagnosis with ventilator support >96 hours in other states
Questions
How much does respiratory system diagnosis with ventilator support >96 hours cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207) at 13 hospitals in Pennsylvania was billed at $437,449 on average, while the average total payment was $73,590, of which Medicare paid $64,321. 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 5.9 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.