Traumatic stupor and coma <1 hour with major complications in Pennsylvania
What 15 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085), from 2024 Medicare claims.
Average charge
$121,436
Hospital list price billed
Average payment
$20,599
Medicare + patient + other payers
Medicare paid
$16,975
Average per stay
State rank
#11 of 27
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $121,436 for traumatic stupor and coma <1 hour with major complications, about 5.9 times the average total payment of $20,599. That payment is 7% below the U.S. average of $22,150.
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 $20,599Billed $121,436
About 17¢ 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 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 |
|---|---|---|---|---|
| Abington Memorial HospitalAbington | 38 | $76,800 | $18,584 | $16,971 |
| Reading Hospital and Med CtrWest Reading | 29 | $67,565 | $17,927 | $16,347 |
| Lehigh Valley HospitalAllentown | 27 | $160,054 | $21,406 | $16,167 |
| Geisinger Medical CenterDanville | 22 | $180,669 | $22,928 | $19,431 |
| St Luke's Hospital BethlehemBethlehem | 17 | $132,028 | $19,782 | $16,165 |
| Lancaster General HospitalLancaster | 17 | $69,088 | $24,991 | $13,842 |
| UPMC Presbyterian ShadysidePittsburgh | 16 | $309,795 | $28,922 | $22,079 |
| Hamot Medical CenterErie | 15 | $165,059 | $19,076 | $16,975 |
| Penn Presbyterian Medical CenterPhiladelphia | 15 | $144,652 | $23,763 | $21,662 |
| UPMC MercyPittsburgh | 13 | $119,289 | $19,914 | $17,169 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 12 | $157,606 | $18,329 | $16,709 |
| York HospitalYork | 11 | $49,852 | $17,254 | $15,415 |
| Grand View HospitalSellersville | 11 | $43,256 | $14,734 | $11,087 |
| Robert Packer HospitalSayre | 11 | $44,809 | $19,926 | $17,856 |
| Jefferson Health- NortheastPhiladelphia | 11 | $93,279 | $21,265 | $14,613 |
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 | $14,734 |
|---|---|
| York HospitalYork, PA | $17,254 |
| Reading Hospital and Med CtrWest Reading, PA | $17,927 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $18,329 |
| Abington Memorial HospitalAbington, PA | $18,584 |
Highest
| UPMC Presbyterian ShadysidePittsburgh, PA | $28,922 |
|---|---|
| Lancaster General HospitalLancaster, PA | $24,991 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $23,763 |
| Geisinger Medical CenterDanville, PA | $22,928 |
| Lehigh Valley HospitalAllentown, PA | $21,406 |
Traumatic stupor and coma <1 hour with major complications in other states
Questions
How much does traumatic stupor and coma <1 hour with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085) at 15 hospitals in Pennsylvania was billed at $121,436 on average, while the average total payment was $20,599, of which Medicare paid $16,975. 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.