facebook tracking Seizures without major complications cost in Pennsylvania: 40 hospitals compared (DRG 101)

Seizures without major complications in Pennsylvania

What 40 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for seizures without major complications (DRG 101), from 2024 Medicare claims.

DRG 101 Inpatient 2024 Medicare data
Average charge $55,359 Hospital list price billed
Average payment $9,118 Medicare + patient + other payers
Medicare paid $6,445 Average per stay
State rank #25 of 44 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $55,359 for seizures without major complications, about 6.1 times the average total payment of $9,118. That payment is 7% below the U.S. average of $9,853.

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 $9,118Billed $55,359

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: seizures 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
Lehigh Valley HospitalAllentown 64 $66,710 $8,647 $6,339
Abington Memorial HospitalAbington 55 $34,489 $7,879 $6,271
Reading Hospital and Med CtrWest Reading 50 $43,176 $8,515 $6,633
Thomas Jefferson University HospitalPhiladelphia 48 $55,895 $13,743 $6,978
Hospital of the Univ of PaPhiladelphia 44 $119,013 $14,115 $8,024
UPMC Presbyterian ShadysidePittsburgh 41 $86,005 $9,995 $6,361
Temple University HospitalPhiladelphia 36 $90,416 $12,111 $8,368
St Luke's Hospital BethlehemBethlehem 33 $106,548 $9,582 $6,876
Lancaster General HospitalLancaster 32 $28,944 $7,316 $5,985
Main Line Hospital PaoliPaoli 32 $60,187 $6,397 $5,218
Geisinger Medical CenterDanville 29 $79,076 $10,085 $7,196
Grand View HospitalSellersville 28 $30,936 $6,768 $4,879
Allegheny General HospitalPittsburgh 26 $37,478 $9,784 $6,446
Albert Einstein Medical CenterPhiladelphia 26 $42,434 $12,852 $9,078
Geisinger-Community Medical CenterScranton 24 $69,791 $7,084 $5,583
Hamot Medical CenterErie 23 $69,735 $8,409 $6,837
Altoona Regional Health SystemAltoona 23 $40,337 $7,495 $5,502
Jefferson Einstein Montgomery HospitalEast Norriton 23 $30,612 $8,765 $7,146
UPMC Pinnacle HospitalsHarrisburg 22 $31,805 $8,135 $5,672
Jefferson Health- NortheastPhiladelphia 22 $32,549 $8,048 $5,685
York HospitalYork 20 $33,001 $11,603 $5,338
Main Line Hospital Bryn Mawr CampusBryn Mawr 20 $56,742 $7,039 $5,756
UPMC MercyPittsburgh 19 $60,729 $10,007 $6,464
Crozer Chester Medical CenterChester 19 $67,393 $9,119 $7,416
Conemaugh Valley Memorial HospitalJohnstown 18 $22,273 $8,684 $6,794
Chester County HospitalWest Chester 18 $32,965 $6,753 $5,665
Geisinger Wyoming Vly Med CtrWilkes-Barre 17 $62,437 $8,224 $5,975
St Luke's Hospital - Anderson CampusEaston 17 $67,402 $10,235 $6,927
St Mary Medical CenterLanghorne 16 $31,412 $7,527 $6,380
Pocono Medical CenterEast Stroudsburg 15 $43,056 $7,591 $5,546
Riddle Memorial HospitalMedia 15 $48,461 $6,295 $5,425
Milton S Hershey Medical CenterHershey 15 $47,669 $10,817 $7,568
Robert Packer HospitalSayre 14 $35,878 $9,240 $6,188
Doylestown HospitalDoylestown 14 $30,905 $6,474 $5,721
Holy Spirit HospitalCamp Hill 13 $30,761 $6,611 $5,336
Western Pennsylvania Hosp Forbes Regional CampusMonroeville 13 $38,181 $7,131 $5,325
Pottstown Memorial Med CenterPottstown 12 $40,268 $6,338 $5,488
Phoenixville HospitalPhoenixville 12 $42,015 $7,007 $6,150
Chambersburg HospitalChambersburg 11 $29,176 $9,037 $5,572
Main Line Hospital LankenauWynnewood 11 $62,455 $8,356 $6,013
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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

Riddle Memorial HospitalMedia, PA$6,295
Pottstown Memorial Med CenterPottstown, PA$6,338
Main Line Hospital PaoliPaoli, PA$6,397
Doylestown HospitalDoylestown, PA$6,474
Holy Spirit HospitalCamp Hill, PA$6,611

Highest

Hospital of the Univ of PaPhiladelphia, PA$14,115
Thomas Jefferson University HospitalPhiladelphia, PA$13,743
Albert Einstein Medical CenterPhiladelphia, PA$12,852
Temple University HospitalPhiladelphia, PA$12,111
York HospitalYork, PA$11,603

Seizures without major complications in other states

Questions

How much does seizures without major complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for seizures without major complications (DRG 101) at 40 hospitals in Pennsylvania was billed at $55,359 on average, while the average total payment was $9,118, of which Medicare paid $6,445. 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 6.1 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.