What 22 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for signs and symptoms of musculoskeletal system and connective tissue without major complications (DRG 556), from 2024 Medicare claims.
Hospitals in Pennsylvania billed an average of $41,736 for signs and symptoms of musculoskeletal system and connective tissue without major complications, about 5.5 times the average total payment of $7,626. That payment is 11% below the U.S. average of $8,554.
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.
About 18¢ 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:
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 |
|---|---|---|---|---|
| UPMC Pinnacle HospitalsHarrisburg | 73 | $31,357 | $7,374 | $5,356 |
| Lehigh Valley HospitalAllentown | 51 | $47,150 | $7,611 | $6,157 |
| UPMC MemorialYork | 45 | $31,207 | $6,042 | $4,561 |
| Reading Hospital and Med CtrWest Reading | 35 | $33,504 | $7,434 | $6,139 |
| Hamot Medical CenterErie | 23 | $54,399 | $7,857 | $6,149 |
| Temple University HospitalPhiladelphia | 21 | $96,788 | $12,478 | $7,702 |
| Carlisle Regional Medical CtrCarlisle | 21 | $27,625 | $5,804 | $4,483 |
| Chestnut Hill HospitalPhiladelphia | 20 | $82,297 | $8,275 | $5,957 |
| Chester County HospitalWest Chester | 20 | $33,461 | $6,166 | $5,146 |
| St Luke's Hospital - Anderson CampusEaston | 20 | $58,868 | $9,683 | $6,500 |
| St Luke's Hospital BethlehemBethlehem | 19 | $66,449 | $8,813 | $6,283 |
| Lancaster General HospitalLancaster | 18 | $26,304 | $6,701 | $5,103 |
| Abington Memorial HospitalAbington | 18 | $26,330 | $7,090 | $5,642 |
| UPMC LititzLititz | 17 | $26,782 | $7,646 | $5,616 |
| UPMC PassavantPittsburgh | 15 | $32,481 | $7,125 | $3,757 |
| Hanover HospitalHanover | 15 | $24,792 | $6,743 | $5,438 |
| Williamsport Hospital & Medical CenterWilliamsport | 14 | $28,837 | $6,289 | $4,998 |
| St Joseph Medical CenterReading | 13 | $23,713 | $7,059 | $5,912 |
| Thomas Jefferson University HospitalPhiladelphia | 12 | $72,288 | $11,097 | $7,953 |
| Jefferson Health- NortheastPhiladelphia | 11 | $32,022 | $7,441 | $5,567 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 11 | $55,091 | $8,362 | $7,043 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 11 | $27,644 | $8,169 | $6,452 |
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.
| Carlisle Regional Medical CtrCarlisle, PA | $5,804 |
|---|---|
| UPMC MemorialYork, PA | $6,042 |
| Chester County HospitalWest Chester, PA | $6,166 |
| Williamsport Hospital & Medical CenterWilliamsport, PA | $6,289 |
| Lancaster General HospitalLancaster, PA | $6,701 |
| Temple University HospitalPhiladelphia, PA | $12,478 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $11,097 |
| St Luke's Hospital - Anderson CampusEaston, PA | $9,683 |
| St Luke's Hospital BethlehemBethlehem, PA | $8,813 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $8,362 |
In 2024 Medicare data, a hospital stay for signs and symptoms of musculoskeletal system and connective tissue without major complications (DRG 556) at 22 hospitals in Pennsylvania was billed at $41,736 on average, while the average total payment was $7,626, of which Medicare paid $5,711. Your own cost depends on your insurance, deductible and the hospital.
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 5.5 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.