facebook tracking Transurethral procedures with complications cost in Pennsylvania: 1 hospitals compared (DRG 669)

Transurethral procedures with complications in Pennsylvania

What 1 hospital in Pennsylvania charged and were paid for a Medicare hospital stay for transurethral procedures with complications (DRG 669), from 2024 Medicare claims.

DRG 669 Inpatient 2024 Medicare data
Average charge $115,284 Hospital list price billed
Average payment $14,757 Medicare + patient + other payers
Medicare paid $13,423 Average per stay
Volume 11 Medicare hospital stays

Hospitals in Pennsylvania billed an average of $115,284 for transurethral procedures with complications, about 7.8 times the average total payment of $14,757. That payment is 2% below the U.S. average of $15,092.

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 $14,757Billed $115,284

About 13¢ 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: transurethral procedures with 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
St Luke's Hospital BethlehemBethlehem 11 $115,284 $14,757 $13,423
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Transurethral procedures with complications in other states

Questions

How much does transurethral procedures with complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for transurethral procedures with complications (DRG 669) at 1 hospital in Pennsylvania was billed at $115,284 on average, while the average total payment was $14,757, of which Medicare paid $13,423. 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 7.8 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.