Simple pneumonia and pleurisy with major complications in Pennsylvania
What 109 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$59,833
Hospital list price billed
Average payment
$11,339
Medicare + patient + other payers
Medicare paid
$9,063
Average per stay
State rank
#24 of 50
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $59,833 for simple pneumonia and pleurisy with major complications, about 5.3 times the average total payment of $11,339. That payment is 6% below the U.S. average of $12,020.
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 $11,339Billed $59,833
About 19¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Lancaster General HospitalLancaster | 213 | $37,896 | $11,170 | $8,373 |
| Lehigh Valley HospitalAllentown | 159 | $74,604 | $11,975 | $9,995 |
| Reading Hospital and Med CtrWest Reading | 135 | $51,021 | $11,351 | $9,733 |
| Abington Memorial HospitalAbington | 132 | $45,424 | $11,782 | $9,285 |
| St Mary Medical CenterLanghorne | 129 | $31,717 | $10,697 | $8,881 |
| Main Line Hospital PaoliPaoli | 120 | $83,248 | $9,499 | $8,102 |
| Mercy Hospital ScrantonScranton | 107 | $66,803 | $9,593 | $7,515 |
| Jefferson Health- NortheastPhiladelphia | 101 | $44,115 | $11,562 | $9,210 |
| Chester County HospitalWest Chester | 100 | $46,438 | $9,698 | $8,149 |
| Chambersburg HospitalChambersburg | 86 | $33,634 | $10,419 | $9,302 |
| York HospitalYork | 85 | $43,227 | $12,940 | $8,605 |
| Robert Packer HospitalSayre | 84 | $35,591 | $11,944 | $9,964 |
| Milton S Hershey Medical CenterHershey | 84 | $60,804 | $14,472 | $11,788 |
| Hospital of the Univ of PaPhiladelphia | 83 | $176,426 | $22,598 | $15,316 |
| Chestnut Hill HospitalPhiladelphia | 81 | $162,132 | $12,990 | $10,748 |
| Wilkes-Barre General HospitalWilkes-Barre | 80 | $76,169 | $9,903 | $7,847 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 78 | $80,632 | $11,525 | $9,342 |
| Riddle Memorial HospitalMedia | 76 | $78,289 | $9,422 | $8,134 |
| St Clair Memorial HospitalPittsburgh | 76 | $26,020 | $8,753 | $6,883 |
| Saint Vincent Health CenterErie | 73 | $69,389 | $11,564 | $9,924 |
| Temple University HospitalPhiladelphia | 73 | $140,626 | $17,183 | $12,966 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 72 | $45,060 | $12,392 | $9,935 |
| Grand View HospitalSellersville | 70 | $46,040 | $9,317 | $8,176 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 68 | $81,351 | $10,474 | $8,966 |
| Doylestown HospitalDoylestown | 68 | $37,343 | $9,756 | $7,985 |
| Jefferson Regional Medical CenterClairton | 68 | $52,144 | $9,230 | $6,935 |
| Holy Redeemer Hosp and Med CtrJenkintown | 66 | $31,587 | $10,317 | $8,133 |
| Geisinger Medical CenterDanville | 65 | $93,855 | $14,259 | $11,095 |
| Wayne Memorial HospitalHonesdale | 65 | $40,154 | $11,491 | $9,737 |
| Geisinger-Community Medical CenterScranton | 64 | $88,248 | $10,286 | $9,039 |
| Main Line Hospital LankenauWynnewood | 64 | $88,548 | $12,885 | $10,870 |
| Williamsport Hospital & Medical CenterWilliamsport | 62 | $56,650 | $10,056 | $8,829 |
| Thomas Jefferson University HospitalPhiladelphia | 61 | $71,232 | $16,367 | $11,821 |
| UPMC PassavantPittsburgh | 59 | $63,097 | $9,395 | $6,845 |
| Mount Nittany Medical CenterState College | 57 | $38,639 | $11,976 | $10,440 |
| UPMC Pinnacle HospitalsHarrisburg | 55 | $54,091 | $11,427 | $9,317 |
| Lansdale HospitalLansdale | 54 | $37,106 | $8,773 | $7,747 |
| Altoona Regional Health SystemAltoona | 54 | $43,961 | $10,435 | $9,023 |
| UPMC Presbyterian ShadysidePittsburgh | 54 | $147,118 | $13,901 | $9,762 |
| St Luke's Hospital BethlehemBethlehem | 53 | $91,242 | $13,857 | $9,288 |
| Phoenixville HospitalPhoenixville | 52 | $71,282 | $11,216 | $8,705 |
| Conemaugh Valley Memorial HospitalJohnstown | 49 | $35,324 | $12,679 | $10,678 |
| Crozer Chester Medical CenterChester | 47 | $100,769 | $12,655 | $10,086 |
| Jameson Memorial HospitalNew Castle | 45 | $24,207 | $9,551 | $7,503 |
| Pocono Medical CenterEast Stroudsburg | 45 | $66,791 | $10,172 | $8,880 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 45 | $48,580 | $10,450 | $7,845 |
| Hamot Medical CenterErie | 44 | $94,175 | $12,100 | $9,882 |
| Northwest Medical CenterOil City | 44 | $41,918 | $9,265 | $8,172 |
| Excela Health Westmoreland Regional HospitalGreensburg | 44 | $32,287 | $9,119 | $7,859 |
| Pottstown Memorial Med CenterPottstown | 42 | $79,928 | $9,567 | $7,748 |
| Uniontown HospitalUniontown | 41 | $26,460 | $9,734 | $7,942 |
| St Luke's Hospital - Anderson CampusEaston | 41 | $81,134 | $14,364 | $10,457 |
| Hazleton General HospitalHazleton | 39 | $54,807 | $9,391 | $7,871 |
| Nazareth HospitalPhiladelphia | 39 | $39,164 | $12,908 | $10,627 |
| Hanover HospitalHanover | 39 | $49,445 | $12,768 | $8,591 |
| Geisinger St. Luke's HospitalOrwigsburg | 39 | $53,877 | $9,129 | $7,397 |
| AHN Wexford HospitalWexford | 39 | $43,461 | $9,830 | $6,587 |
| UPMC HorizonGreenville | 38 | $39,918 | $9,509 | $7,968 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 37 | $114,527 | $12,967 | $11,073 |
| UPMC EastMonroeville | 37 | $62,734 | $9,326 | $7,864 |
| Butler Health SystemButler | 36 | $33,963 | $9,408 | $8,218 |
| Heritage Valley BeaverBeaver | 35 | $26,230 | $10,372 | $8,590 |
| Dubois Regional Medical CenterDubois | 35 | $21,898 | $9,576 | $8,144 |
| Lewistown HospitalLewistown | 34 | $42,076 | $11,203 | $8,113 |
| St Luke's Hospital - Monroe CampusStroudsburg | 32 | $84,743 | $9,809 | $8,497 |
| Schuylkill Medical Center - South Jackson StreetPottsville | 31 | $55,321 | $10,249 | $8,454 |
| St Joseph Medical CenterReading | 31 | $63,070 | $11,826 | $8,958 |
| Holy Spirit HospitalCamp Hill | 29 | $44,951 | $9,716 | $7,500 |
| Carlisle Regional Medical CtrCarlisle | 29 | $48,588 | $10,724 | $7,089 |
| Washington Hospital, theWashington | 27 | $12,247 | $9,748 | $7,505 |
| Gettysburg HospitalGettysburg | 27 | $42,636 | $10,434 | $8,477 |
| Lower Bucks HospitalBristol | 27 | $45,543 | $12,979 | $10,123 |
| UPMC St MargaretPittsburgh | 27 | $67,357 | $10,502 | $8,197 |
| Meadville Medical CenterMeadville | 27 | $33,156 | $10,397 | $8,297 |
| Excela Health Frick HospitalMt Pleasant | 27 | $26,783 | $8,859 | $7,468 |
| Evangelical Community HospitalLewisburg | 26 | $60,165 | $9,528 | $7,537 |
| Ephrata Community HospitalEphrata | 26 | $40,969 | $9,478 | $7,417 |
| Heritage Valley SewickleySewickley | 25 | $17,629 | $8,874 | $7,450 |
| Allegheny General HospitalPittsburgh | 25 | $67,339 | $13,669 | $10,059 |
| Allegheny Valley HospitalNatrona Heights | 24 | $38,060 | $9,083 | $7,422 |
| Good Samaritan HospitalLebanon | 24 | $38,441 | $10,063 | $8,354 |
| UPMC MemorialYork | 24 | $53,397 | $9,872 | $7,991 |
| UPMC BedfordEverett | 24 | $30,787 | $11,119 | $9,362 |
| Penn Presbyterian Medical CenterPhiladelphia | 24 | $115,436 | $15,013 | $11,814 |
| Penn State Health Lancaster Medical CenterLancaster | 24 | $43,108 | $12,120 | $5,658 |
| St Luke's Quakertown HospitalQuakertown | 22 | $99,126 | $11,189 | $9,559 |
| Albert Einstein Medical CenterPhiladelphia | 22 | $55,425 | $16,656 | $12,696 |
| Latrobe Area HospitalLatrobe | 22 | $27,572 | $9,404 | $7,372 |
| Indiana Regional Medical CenterIndiana | 21 | $23,999 | $9,529 | $8,420 |
| Sharon Regional Health SystemSharon | 21 | $37,218 | $9,260 | $7,836 |
| Somerset HospitalSomerset | 19 | $21,209 | $10,246 | $8,958 |
| Canonsburg General HospitalCanonsburg | 19 | $49,605 | $8,717 | $7,515 |
| St Luke's Hospital - Carbon CampusLehighton | 19 | $66,904 | $9,368 | $7,550 |
| Lehigh Valley Hospital - Dickson CityDickson City | 19 | $55,400 | $9,160 | $6,731 |
| West Penn HospitalPittsburgh | 18 | $88,519 | $13,032 | $11,040 |
| Warren General HospitalWarren | 18 | $15,497 | $11,475 | $10,478 |
| UPMC McKeesportMcKeesport | 17 | $60,533 | $11,449 | $9,215 |
| Clarion HospitalClarion | 17 | $18,958 | $13,151 | $10,701 |
| Monongahela Valley HospitalMonongahela | 17 | $34,513 | $9,426 | $7,480 |
| Mercy Health SystemConshohocken | 17 | $52,569 | $16,091 | $12,822 |
| Penn State Health Hampden Medical CenterEnola | 17 | $52,449 | $15,551 | $9,802 |
| Waynesboro HospitalWaynesboro | 16 | $35,805 | $11,734 | $9,804 |
| ACMH HospitalKittanning | 16 | $25,822 | $10,031 | $8,245 |
| Roxborough Memorial HospitalPhiladelphia | 16 | $55,702 | $11,661 | $9,644 |
| UPMC LititzLititz | 15 | $51,227 | $10,077 | $8,756 |
| Bloomsburg HospitalBloomsburg | 14 | $50,551 | $10,723 | $6,903 |
| UPMC MercyPittsburgh | 14 | $84,408 | $12,993 | $10,019 |
| Easton HospitalEaston | 14 | $80,437 | $11,230 | $9,013 |
| St Luke's Miners Memorial HospitalCoaldale | 13 | $49,663 | $11,415 | $9,765 |
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
| Canonsburg General HospitalCanonsburg, PA | $8,717 |
|---|---|
| St Clair Memorial HospitalPittsburgh, PA | $8,753 |
| Lansdale HospitalLansdale, PA | $8,773 |
| Excela Health Frick HospitalMt Pleasant, PA | $8,859 |
| Heritage Valley SewickleySewickley, PA | $8,874 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $22,598 |
|---|---|
| Temple University HospitalPhiladelphia, PA | $17,183 |
| Albert Einstein Medical CenterPhiladelphia, PA | $16,656 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $16,367 |
| Mercy Health SystemConshohocken, PA | $16,091 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 109 hospitals in Pennsylvania was billed at $59,833 on average, while the average total payment was $11,339, of which Medicare paid $9,063. 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 5.3 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.