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Inpatient stay · MS-DRG 103

Headaches without MCC

In 2024, Medicare and patients paid an average of $10,322 per stay at 110 hospitals. Half of hospitals averaged between $7,427 and $10,341.

National figures, 2024

Average payment per case
$10,322
Typical range (middle half of hospitals)
$7,427–$10,341
Medicare’s share
$5,89557% of the payment
Average billed charge
$55,031
Hospitals reporting
1102,179 stays

Hospitals in Pennsylvania

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Pennsylvania
Specific hospitals up to 10
Average payment across these 11 hospitals
$10,347National $10,322 · Pennsylvania $10,347
Median hospital
$7,745
Lowest to highest
$5,999–$12,769
Medicare stays
378

11 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Headaches without MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Paoli HospitalPaoli, PA · CCN 39015311$5,99942% below the national average$4,510$54,961
Chester County HospitalWest Chester, PA · CCN 39017911$6,33239% below the national average$4,997$41,089
Wellspan Chambersburg HospitalChambersburg, PA · CCN 39015112$6,92933% below the national average$6,381$25,964
Jefferson Abington HospitalAbington, PA · CCN 39023137$7,19130% below the national average$5,712$25,319
Reading HospitalWest Reading, PA · CCN 39004415$7,61826% below the national average$6,100$36,317
Lehigh Valley HospitalAllentown, PA · CCN 39013346$7,74525% below the national average$5,805$54,190
Lancaster General HospitalLancaster, PA · CCN 39010013$8,62116% below the national average$5,070$37,932
St Lukes HospitalBethlehem, PA · CCN 39004913$9,26310% below the national average$6,181$80,068
St Luke's Hospital - Anderson CampusEaston, PA · CCN 39032614$9,364About average$6,926$52,497
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 39016414$10,031About average$5,303$123,650
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174192$12,76924% above the national average$5,936$45,306

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 1,658 stays at 83 hospitals · 2021: 2,033 stays at 106 hospitals · 2022: 1,391 stays at 68 hospitals · 2023: 1,941 stays at 98 hospitals · 2024: 2,179 stays at 110 hospitals
View data as a table
National average payment and billed charge for Headaches without MCC
Year of careAverage paymentAverage billed charge
2020$8,679$42K
2021$9,604$43K
2022$10K$49K
2023$10K$51K
2024$10K$55K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 28 states
Average payment by state for Headaches without MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Louisiana111$5,794$5,794–$5,794
Kentucky125$6,313$6,313–$6,313
Mississippi116$6,740$6,740–$6,740
Virginia573$7,096$6,564–$7,427
Colorado111$7,110$7,110–$7,110
South Carolina111$8,001$8,001–$8,001
Indiana115$8,043$8,043–$8,043
Florida13299$8,062$6,910–$8,332
Oklahoma111$8,155$8,155–$8,155
Arizona343$8,170$6,920–$9,005
Texas10177$8,312$7,434–$9,000
North Carolina449$8,332$7,360–$8,999
Massachusetts572$8,413$7,315–$9,038
Nevada465$8,482$7,927–$9,263
West Virginia118$8,533$8,533–$8,533
Ohio473$8,743$7,803–$9,808
North Dakota113$8,933$8,933–$8,933
Delaware131$9,037$9,037–$9,037
Missouri451$9,218$8,555–$9,914
Tennessee222$9,310$7,955–$10,664
Michigan472$9,530$8,689–$10,476
Kansas245$10,163$8,675–$10,945
Pennsylvania11378$10,347$7,060–$9,314
New York7125$11,079$8,446–$12,102
New Jersey336$11,277$10,489–$11,784
Maryland339$12,115$10,273–$14,001
California9114$14,050$9,125–$15,992
Illinois7284$16,506$9,438–$12,962

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.