facebook tracking Signs and symptoms of musculoskeletal system and connective tissue without major complications cost in Pennsylvania: 22 hospitals compared (DRG 556)

Signs and symptoms of musculoskeletal system and connective tissue without major complications in Pennsylvania

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.

DRG 556 Inpatient 2024 Medicare data
Average charge $41,736 Hospital list price billed
Average payment $7,626 Medicare + patient + other payers
Medicare paid $5,711 Average per stay
State rank #9 of 16 1 = lowest average payment

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.

Paid $7,626Billed $41,736

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:

Pennsylvania hospitals: signs and symptoms of musculoskeletal system and connective tissue 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
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
Advertisement

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

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

Highest

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

Signs and symptoms of musculoskeletal system and connective tissue without major complications in other states

Questions

How much does signs and symptoms of musculoskeletal system and connective tissue without major complications cost in Pennsylvania?

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.

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 5.5 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.