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Inpatient stay · MS-DRG 176

Pulmonary embolism without MCC

In 2024, Medicare and patients paid an average of $8,293 per stay at 515 hospitals. Half of hospitals averaged between $6,587 and $9,217.

National figures, 2024

Average payment per case
$8,293
Typical range (middle half of hospitals)
$6,587–$9,217
Medicare’s share
$5,97972% of the payment
Average billed charge
$41,798
Hospitals reporting
5159,457 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 35 hospitals
$7,713National $8,293 · Pennsylvania $7,713
Median hospital
$7,247
Lowest to highest
$5,497–$11,463
Medicare stays
616

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

Medicare payments per case for Pulmonary embolism without MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
UPMC PassavantPittsburgh, PA · CCN 39010714$5,49734% below the national average$4,173$44,598
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 39001312$5,52333% below the national average$4,027$38,181
Paoli HospitalPaoli, PA · CCN 39015323$5,81630% below the national average$4,744$64,115
Doylestown HospitalDoylestown, PA · CCN 39020323$5,83930% below the national average$4,304$27,909
Riddle Memorial HospitalMedia, PA · CCN 39022211$5,84330% below the national average$4,656$56,240
Pottstown HospitalPottstown, PA · CCN 39012312$5,85729% below the national average$4,905$57,477
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 39005713$5,89729% below the national average$4,197$32,916
Heritage Valley SewickleySewickley, PA · CCN 39003714$5,94028% below the national average$4,769$14,231
Chester County HospitalWest Chester, PA · CCN 39017921$6,09926% below the national average$4,606$36,461
Uniontown HospitalUniontown, PA · CCN 39004113$6,15226% below the national average$5,148$22,398
Forbes HospitalMonroeville, PA · CCN 39026713$6,20525% below the national average$5,034$29,765
Bryn Mawr HospitalBryn Mawr, PA · CCN 39013913$6,47022% below the national average$5,008$53,489
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 39020112$6,58321% below the national average$5,223$60,061
Lancaster General HospitalLancaster, PA · CCN 39010018$6,58421% below the national average$5,207$28,387
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 39033014$6,78218% below the national average$4,573$73,319
Jefferson Abington HospitalAbington, PA · CCN 39023122$7,15314% below the national average$5,417$32,529
Reading HospitalWest Reading, PA · CCN 39004419$7,22413% below the national average$5,724$36,802
St Mary Medical CenterLanghorne, PA · CCN 39025825$7,24713% below the national average$4,763$28,223
Geisinger-Community Medical CenterScranton, PA · CCN 39000116$7,36211% below the national average$4,879$58,362
Main Line Hospital LankenauWynnewood, PA · CCN 39019516$7,659About average$5,956$64,361
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 39006722$7,769About average$5,176$42,454
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 39027022$7,812About average$5,559$69,405
Jefferson Health- NortheastPhiladelphia, PA · CCN 39011511$7,815About average$5,166$25,069
Lehigh Valley HospitalAllentown, PA · CCN 39013348$7,927About average$5,252$47,709
UPMC HamotErie, PA · CCN 39006312$8,064About average$5,258$54,175
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 39016419$8,340About average$5,872$67,982
Allegheny General HospitalPittsburgh, PA · CCN 39005013$8,554About average$6,065$32,542
Geisinger Medical CenterDanville, PA · CCN 39000613$8,886About average$6,919$71,512
Wellspan York HospitalYork, PA · CCN 39004625$9,28812% above the national average$5,480$43,970
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 39017416$9,92620% above the national average$7,156$46,555
Milton S Hershey Medical CenterHershey, PA · CCN 39025611$10,10622% above the national average$6,361$42,338
St Lukes HospitalBethlehem, PA · CCN 39004926$10,16623% above the national average$5,022$80,617
Temple University HospitalPhiladelphia, PA · CCN 39002722$11,01433% above the national average$8,262$89,934
St Luke's Hospital - Anderson CampusEaston, PA · CCN 39032615$11,28436% above the national average$5,942$68,710
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 39011117$11,46338% above the national average$7,744$91,394

National trend

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

  • Average payment
  • Average billed charge
2020: 13,932 stays at 714 hospitals · 2021: 12,596 stays at 666 hospitals · 2022: 9,891 stays at 542 hospitals · 2023: 10,016 stays at 550 hospitals · 2024: 9,457 stays at 515 hospitals
View data as a table
National average payment and billed charge for Pulmonary embolism without MCC
Year of careAverage paymentAverage billed charge
2020$7,548$33K
2021$8,048$35K
2022$8,131$38K
2023$8,019$39K
2024$8,293$42K

By state, 2024

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

Show all 46 states
Average payment by state for Pulmonary embolism without MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont122$5,383$5,383–$5,383
Arkansas336$5,763$5,501–$6,079
Iowa457$5,987$5,951–$6,010
Mississippi462$6,285$6,323–$6,728
Montana112$6,314$6,314–$6,314
Kentucky9190$6,322$5,898–$6,813
Kansas586$6,370$5,585–$7,155
Colorado355$6,637$6,588–$6,808
Indiana13198$6,980$6,130–$7,128
Missouri16246$7,006$5,898–$7,445
Alabama7114$7,041$6,090–$6,931
North Dakota231$7,131$7,055–$7,218
Arizona17305$7,196$6,357–$7,117
Ohio27428$7,304$6,149–$7,684
South Dakota116$7,345$7,345–$7,345
Louisiana675$7,356$5,700–$7,944
South Carolina12198$7,397$6,788–$7,613
Wisconsin343$7,410$6,452–$8,073
Florida40863$7,418$6,272–$7,885
West Virginia463$7,538$6,919–$7,969
Idaho338$7,574$7,328–$7,819
Nebraska591$7,650$6,673–$8,723
Pennsylvania35616$7,713$6,125–$8,447
Tennessee16255$7,721$6,403–$8,308
Delaware3113$7,759$7,364–$8,397
Oklahoma452$7,805$6,763–$8,428
Michigan11206$7,840$7,374–$8,329
Virginia22385$7,868$6,641–$7,944
New Hampshire565$7,912$6,428–$9,879
Texas20341$7,945$6,601–$9,647
Illinois28556$8,201$6,696–$9,394
North Carolina22424$8,217$6,785–$8,306
Minnesota7130$8,274$6,625–$8,483
Washington571$8,284$7,507–$8,537
Nevada463$8,311$8,133–$8,544
New Jersey21399$8,334$7,641–$9,088
Massachusetts19391$8,689$7,114–$9,872
Utah232$8,855$7,988–$9,530
Georgia15274$9,190$7,334–$9,693
Rhode Island352$9,813$9,597–$9,900
District of Columbia337$9,822$9,063–$11,144
New York32680$10,116$7,950–$11,043
California26463$10,201$8,826–$10,769
Connecticut383$10,618$9,524–$11,423
New Mexico113$10,881$10,881–$10,881
Maryland22527$11,951$9,027–$13,236

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.