facebook tracking Traumatic stupor and coma <1 hour with complications cost in Pennsylvania: 24 hospitals compared (DRG 086)

Traumatic stupor and coma <1 hour with complications in Pennsylvania

What 24 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour with complications (DRG 086), from 2024 Medicare claims.

DRG 086 Inpatient 2024 Medicare data
Average charge $68,046 Hospital list price billed
Average payment $11,911 Medicare + patient + other payers
Medicare paid $9,273 Average per stay
State rank #20 of 35 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $68,046 for traumatic stupor and coma <1 hour with complications, about 5.7 times the average total payment of $11,911. That payment is 7% below the U.S. average of $12,797.

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 $11,911Billed $68,046

About 18¢ 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: traumatic stupor and coma <1 hour 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
Lehigh Valley HospitalAllentown 48 $87,519 $12,024 $8,673
Grand View HospitalSellersville 37 $43,970 $9,076 $7,620
Reading Hospital and Med CtrWest Reading 35 $47,270 $11,260 $9,738
Allegheny General HospitalPittsburgh 27 $45,113 $12,996 $9,389
St Luke's Hospital BethlehemBethlehem 26 $69,092 $13,237 $9,809
Geisinger Medical CenterDanville 25 $114,441 $14,217 $10,653
Lancaster General HospitalLancaster 24 $39,204 $10,647 $8,519
York HospitalYork 21 $38,856 $11,289 $9,667
Penn Presbyterian Medical CenterPhiladelphia 21 $82,335 $13,187 $11,373
Main Line Hospital PaoliPaoli 20 $70,570 $9,206 $7,895
UPMC MercyPittsburgh 19 $57,991 $12,753 $10,530
Holy Spirit HospitalCamp Hill 18 $48,634 $11,878 $6,937
Hamot Medical CenterErie 17 $80,950 $12,077 $9,467
UPMC Presbyterian ShadysidePittsburgh 17 $132,643 $13,697 $10,073
Williamsport Hospital & Medical CenterWilliamsport 15 $86,169 $9,813 $8,011
Thomas Jefferson University HospitalPhiladelphia 15 $61,681 $16,407 $11,322
Abington Memorial HospitalAbington 15 $51,764 $11,131 $9,136
Main Line Hospital LankenauWynnewood 14 $75,674 $11,886 $10,149
Robert Packer HospitalSayre 13 $37,879 $12,437 $9,093
Jefferson Health- NortheastPhiladelphia 13 $34,292 $11,611 $8,454
Crozer Chester Medical CenterChester 13 $115,843 $12,778 $9,641
Geisinger-Community Medical CenterScranton 12 $87,983 $10,028 $8,255
Wilkes-Barre General HospitalWilkes-Barre 12 $50,783 $9,657 $8,251
St Luke's Hospital - Anderson CampusEaston 12 $104,019 $14,798 $11,568
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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

Grand View HospitalSellersville, PA$9,076
Main Line Hospital PaoliPaoli, PA$9,206
Wilkes-Barre General HospitalWilkes-Barre, PA$9,657
Williamsport Hospital & Medical CenterWilliamsport, PA$9,813
Geisinger-Community Medical CenterScranton, PA$10,028

Highest

Thomas Jefferson University HospitalPhiladelphia, PA$16,407
St Luke's Hospital - Anderson CampusEaston, PA$14,798
Geisinger Medical CenterDanville, PA$14,217
UPMC Presbyterian ShadysidePittsburgh, PA$13,697
St Luke's Hospital BethlehemBethlehem, PA$13,237

Traumatic stupor and coma <1 hour with complications in other states

Questions

How much does traumatic stupor and coma <1 hour with complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour with complications (DRG 086) at 24 hospitals in Pennsylvania was billed at $68,046 on average, while the average total payment was $11,911, of which Medicare paid $9,273. 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 5.7 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.