Trauma to the skin, subcutaneous tissue and breast without major complications in Pennsylvania
What 21 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605), from 2024 Medicare claims.
Average charge
$49,383
Hospital list price billed
Average payment
$8,365
Medicare + patient + other payers
Medicare paid
$6,144
Average per stay
State rank
#12 of 25
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $49,383 for trauma to the skin, subcutaneous tissue and breast without major complications, about 5.9 times the average total payment of $8,365. That payment is 11% below the U.S. average of $9,406.
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 $8,365Billed $49,383
About 17¢ 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: trauma to the skin, subcutaneous tissue and breast 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 |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 47 | $62,958 | $8,326 | $6,248 |
| St Luke's Hospital BethlehemBethlehem | 34 | $57,767 | $8,811 | $7,082 |
| Lancaster General HospitalLancaster | 33 | $32,592 | $7,538 | $5,500 |
| Abington Memorial HospitalAbington | 32 | $34,459 | $7,899 | $6,133 |
| Reading Hospital and Med CtrWest Reading | 30 | $38,121 | $7,679 | $6,195 |
| Grand View HospitalSellersville | 27 | $34,459 | $7,218 | $4,962 |
| York HospitalYork | 26 | $38,398 | $8,722 | $5,570 |
| St Luke's Hospital - Anderson CampusEaston | 25 | $72,679 | $10,318 | $7,635 |
| UPMC Presbyterian ShadysidePittsburgh | 23 | $71,274 | $9,684 | $6,799 |
| Geisinger Medical CenterDanville | 21 | $96,550 | $10,389 | $6,856 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 17 | $70,585 | $7,987 | $6,333 |
| Holy Spirit HospitalCamp Hill | 16 | $32,080 | $7,384 | $5,182 |
| Doylestown HospitalDoylestown | 14 | $19,288 | $7,185 | $4,561 |
| Jefferson Health- NortheastPhiladelphia | 13 | $35,384 | $8,275 | $6,410 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 13 | $26,845 | $9,137 | $7,035 |
| Hamot Medical CenterErie | 12 | $49,079 | $10,874 | $5,473 |
| Wilkes-Barre General HospitalWilkes-Barre | 12 | $45,852 | $6,935 | $5,708 |
| Chester County HospitalWest Chester | 12 | $32,194 | $6,841 | $6,025 |
| UPMC Pinnacle HospitalsHarrisburg | 11 | $31,296 | $7,878 | $5,523 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 11 | $58,197 | $7,217 | $5,640 |
| Main Line Hospital LankenauWynnewood | 11 | $69,904 | $8,587 | $6,989 |
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
| Chester County HospitalWest Chester, PA | $6,841 |
|---|---|
| Wilkes-Barre General HospitalWilkes-Barre, PA | $6,935 |
| Doylestown HospitalDoylestown, PA | $7,185 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr, PA | $7,217 |
| Grand View HospitalSellersville, PA | $7,218 |
Highest
| Hamot Medical CenterErie, PA | $10,874 |
|---|---|
| Geisinger Medical CenterDanville, PA | $10,389 |
| St Luke's Hospital - Anderson CampusEaston, PA | $10,318 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $9,684 |
| Jefferson Einstein Montgomery HospitalEast Norriton, PA | $9,137 |
Trauma to the skin, subcutaneous tissue and breast without major complications in other states
Questions
How much does trauma to the skin, subcutaneous tissue and breast without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605) at 21 hospitals in Pennsylvania was billed at $49,383 on average, while the average total payment was $8,365, of which Medicare paid $6,144. 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 5.9 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.