Inpatient stay · MS-DRG 551

Medical back problems with MCC

In 2024, Medicare and patients paid an average of $16,215 per stay at 465 hospitals. Half of hospitals averaged between $12,790 and $17,674.

National figures, 2024

Average payment per case: $16,215
Typical range (middle half of hospitals): $12,790–$17,674
Medicare’s share: $13,31082% of the payment
Average billed charge: $86,481
Hospitals reporting: 4658,932 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

Sort by

Order

Year of care

Average payment across these 23 hospitals: $14,965National $16,215 · Pennsylvania $14,965
Median hospital: $14,393
Lowest to highest: $10,188–$22,519
Medicare stays: 454

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

Medicare payments per case for Medical back problems with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	12	$10,188	37% below the national average	$8,925	$45,418
UPMC WilliamsportWilliamsport, PA · CCN 390045	13	$11,406	30% below the national average	$10,424	$55,455
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	13	$11,436	29% below the national average	$10,180	$44,100
Paoli HospitalPaoli, PA · CCN 390153	15	$12,136	25% below the national average	$10,283	$79,310
Lancaster General HospitalLancaster, PA · CCN 390100	21	$12,753	21% below the national average	$10,991	$54,234
St Mary Medical CenterLanghorne, PA · CCN 390258	17	$12,892	20% below the national average	$11,589	$42,719
Forbes HospitalMonroeville, PA · CCN 390267	12	$12,905	20% below the national average	$10,853	$71,423
UPMC AltoonaAltoona, PA · CCN 390073	11	$13,199	19% below the national average	$11,919	$52,231
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	14	$13,212	19% below the national average	$10,931	$51,746
Reading HospitalWest Reading, PA · CCN 390044	30	$13,444	17% below the national average	$11,896	$56,833
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	17	$13,601	16% below the national average	$12,340	$99,172
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	18	$14,393	11% below the national average	$12,593	$47,307
Jefferson Abington HospitalAbington, PA · CCN 390231	37	$14,500	11% below the national average	$11,196	$54,742
Wellspan York HospitalYork, PA · CCN 390046	22	$14,581	10% below the national average	$12,715	$62,801
Lehigh Valley HospitalAllentown, PA · CCN 390133	66	$15,506	About average	$12,148	$124,213
St Lukes HospitalBethlehem, PA · CCN 390049	19	$15,613	About average	$12,299	$94,091
Milton S Hershey Medical CenterHershey, PA · CCN 390256	12	$15,704	About average	$12,342	$87,883
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	17	$16,567	About average	$13,337	$100,666
UPMC MercyPittsburgh, PA · CCN 390028	17	$16,870	About average	$12,358	$92,595
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	23	$18,224	12% above the national average	$13,312	$177,110
Allegheny General HospitalPittsburgh, PA · CCN 390050	12	$18,762	16% above the national average	$13,663	$85,715
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	25	$20,038	24% above the national average	$15,586	$88,068
Temple University HospitalPhiladelphia, PA · CCN 390027	11	$22,519	39% above the national average	$17,079	$219,616

National trend

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

Average payment
Average billed charge

2020: 6,052 stays at 336 hospitals · 2021: 6,369 stays at 360 hospitals · 2022: 7,559 stays at 410 hospitals · 2023: 8,452 stays at 450 hospitals · 2024: 8,932 stays at 465 hospitals

View data as a table

National average payment and billed charge for Medical back problems with MCC
Year of care	Average payment	Average billed charge
2020	$14K	$66K
2021	$15K	$73K
2022	$16K	$77K
2023	$16K	$81K
2024	$16K	$86K

By state, 2024

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

Show all 49 states

Average payment by state for Medical back problems with MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	1	12	$6,304	$6,304–$6,304
Arkansas	2	35	$11,548	$11,539–$11,586
Mississippi	3	51	$11,748	$11,409–$11,965
Louisiana	2	25	$12,015	$11,632–$12,639
Colorado	3	58	$12,369	$12,295–$12,436
South Dakota	1	12	$13,041	$13,041–$13,041
Florida	45	929	$13,098	$11,914–$13,853
Oklahoma	5	111	$13,345	$11,732–$13,360
Iowa	5	100	$13,404	$10,770–$12,881
Kansas	6	144	$13,437	$11,902–$13,469
Utah	2	35	$13,468	$12,772–$14,452
Montana	1	13	$13,490	$13,490–$13,490
Texas	34	615	$13,646	$12,066–$15,023
Ohio	16	298	$13,903	$12,122–$15,349
Missouri	12	227	$14,234	$11,587–$15,860
Idaho	1	20	$14,244	$14,244–$14,244
Kentucky	5	84	$14,367	$11,509–$17,394
Michigan	15	241	$14,472	$13,724–$15,146
Virginia	14	260	$14,531	$11,832–$14,313
Indiana	9	182	$14,538	$12,343–$15,080
Arizona	8	130	$14,614	$12,180–$15,299
South Carolina	7	124	$14,733	$12,128–$16,499
North Dakota	2	40	$14,816	$14,455–$15,487
Illinois	21	408	$14,955	$11,896–$16,347
Pennsylvania	23	454	$14,965	$12,898–$16,135
Minnesota	12	210	$15,100	$12,774–$15,284
Nevada	8	146	$15,154	$13,852–$15,899
West Virginia	1	24	$15,415	$15,415–$15,415
Delaware	1	47	$15,914	$15,914–$15,914
Tennessee	13	272	$15,936	$12,583–$16,350
Alabama	5	86	$16,185	$12,075–$22,003
New Hampshire	5	69	$16,342	$12,484–$15,536
Nebraska	3	65	$16,493	$14,956–$18,351
New Jersey	17	313	$16,689	$15,114–$17,967
North Carolina	13	232	$16,801	$12,486–$17,308
New Mexico	1	13	$17,054	$17,054–$17,054
Washington	9	139	$17,107	$13,928–$18,397
Wisconsin	5	93	$17,108	$12,613–$17,503
Maine	1	23	$17,294	$17,294–$17,294
Massachusetts	19	438	$17,340	$13,660–$19,994
Rhode Island	1	14	$17,894	$17,894–$17,894
Connecticut	6	104	$18,607	$17,236–$19,900
Hawaii	1	26	$18,920	$18,920–$18,920
District of Columbia	1	17	$19,114	$19,114–$19,114
Georgia	9	176	$19,572	$13,634–$17,501
New York	30	776	$20,711	$15,418–$22,670
Oregon	2	24	$20,780	$18,009–$23,551
California	50	867	$20,804	$16,698–$22,060
Maryland	9	150	$25,553	$15,998–$34,725

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.