Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in Pennsylvania
What 10 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.
Average charge
$904,614
Hospital list price billed
Average payment
$144,543
Medicare + patient + other payers
Medicare paid
$123,202
Average per stay
State rank
#19 of 24
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $904,614 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 6.3 times the average total payment of $144,543. That payment is 4% above the U.S. average of $139,119.
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 $144,543Billed $904,614
About 16¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Pennsylvania hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou
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 |
|---|---|---|---|---|
| Thomas Jefferson University HospitalPhiladelphia | 30 | $466,429 | $149,652 | $116,887 |
| Hospital of the Univ of PaPhiladelphia | 22 | $1,411,143 | $226,640 | $186,170 |
| Temple University HospitalPhiladelphia | 19 | $1,241,279 | $142,067 | $128,810 |
| UPMC Presbyterian ShadysidePittsburgh | 16 | $1,556,343 | $116,086 | $105,588 |
| Lehigh Valley HospitalAllentown | 15 | $1,038,589 | $152,792 | $116,204 |
| Geisinger Medical CenterDanville | 14 | $840,509 | $135,703 | $124,943 |
| Allegheny General HospitalPittsburgh | 13 | $624,634 | $144,773 | $119,350 |
| Jefferson Health- NortheastPhiladelphia | 12 | $391,371 | $110,272 | $106,615 |
| St Luke's Hospital BethlehemBethlehem | 11 | $881,002 | $115,936 | $108,637 |
| Main Line Hospital LankenauWynnewood | 11 | $370,423 | $77,810 | $74,968 |
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
| Main Line Hospital LankenauWynnewood, PA | $77,810 |
|---|---|
| Jefferson Health- NortheastPhiladelphia, PA | $110,272 |
| St Luke's Hospital BethlehemBethlehem, PA | $115,936 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $116,086 |
| Geisinger Medical CenterDanville, PA | $135,703 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $226,640 |
|---|---|
| Lehigh Valley HospitalAllentown, PA | $152,792 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $149,652 |
| Allegheny General HospitalPittsburgh, PA | $144,773 |
| Temple University HospitalPhiladelphia, PA | $142,067 |
Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states
Questions
How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 10 hospitals in Pennsylvania was billed at $904,614 on average, while the average total payment was $144,543, of which Medicare paid $123,202. 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 6.3 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.