Inpatient stay · MS-DRG 637

Diabetes with MCC

In 2024, Medicare and patients paid an average of $14,037 per stay at 1,057 hospitals. Half of hospitals averaged between $11,078 and $15,136.

National figures, 2024

Average payment per case: $14,037
Typical range (middle half of hospitals): $11,078–$15,136
Medicare’s share: $11,46482% of the payment
Average billed charge: $69,906
Hospitals reporting: 1,05720,859 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.

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Pennsylvania

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Year of care

Average payment across these 40 hospitals: $13,208National $14,037 · Pennsylvania $13,208
Median hospital: $12,599
Lowest to highest: $8,798–$18,896
Medicare stays: 768

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

Medicare payments per case for Diabetes with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Paoli HospitalPaoli, PA · CCN 390153	14	$8,798	37% below the national average	$7,391	$65,299
St Clair HospitalPittsburgh, PA · CCN 390228	13	$9,082	35% below the national average	$7,419	$26,735
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	12	$9,494	32% below the national average	$8,543	$37,887
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	11	$9,510	32% below the national average	$8,067	$52,530
Geisinger St. Luke's HospitalOrwigsburg, PA · CCN 390332	11	$10,146	28% below the national average	$9,483	$56,553
Doylestown HospitalDoylestown, PA · CCN 390203	13	$10,157	28% below the national average	$8,988	$29,563
Regional Hospital Of ScrantonScranton, PA · CCN 390237	11	$10,272	27% below the national average	$8,675	$64,680
Chester County HospitalWest Chester, PA · CCN 390179	15	$10,503	25% below the national average	$9,415	$50,077
Gettysburg HospitalGettysburg, PA · CCN 390065	11	$10,963	22% below the national average	$10,369	$44,994
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	14	$11,257	20% below the national average	$10,547	$41,433
UPMC AltoonaAltoona, PA · CCN 390073	13	$11,445	18% below the national average	$10,073	$44,786
St Mary Medical CenterLanghorne, PA · CCN 390258	20	$11,525	18% below the national average	$9,183	$48,396
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 390030	11	$11,653	17% below the national average	$9,110	$57,841
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	19	$11,671	17% below the national average	$9,323	$79,055
Lancaster General HospitalLancaster, PA · CCN 390100	24	$11,680	17% below the national average	$9,897	$51,232
Jefferson Abington HospitalAbington, PA · CCN 390231	34	$11,827	16% below the national average	$9,967	$44,398
Geisinger-Community Medical CenterScranton, PA · CCN 390001	16	$11,903	15% below the national average	$10,281	$134,349
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	20	$12,232	13% below the national average	$10,897	$76,053
Reading HospitalWest Reading, PA · CCN 390044	44	$12,573	10% below the national average	$11,012	$56,855
Allegheny General HospitalPittsburgh, PA · CCN 390050	11	$12,586	10% below the national average	$9,567	$119,134
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	13	$12,613	10% below the national average	$8,236	$34,923
UPMC St MargaretPittsburgh, PA · CCN 390102	11	$12,655	About average	$9,860	$91,192
Wellspan York HospitalYork, PA · CCN 390046	29	$12,809	About average	$11,047	$49,326
Lehigh Valley HospitalAllentown, PA · CCN 390133	64	$12,827	About average	$10,471	$86,278
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	36	$12,931	About average	$9,400	$37,860
Mount Nittany Medical CenterState College, PA · CCN 390268	13	$13,032	About average	$11,842	$37,342
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	20	$13,637	About average	$10,623	$122,678
Main Line Hospital LankenauWynnewood, PA · CCN 390195	13	$13,702	About average	$11,680	$94,881
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	27	$13,805	About average	$10,617	$56,042
Crozer Chester Medical CenterUpland, PA · CCN 390180	18	$14,293	About average	$11,861	$119,896
St Lukes HospitalBethlehem, PA · CCN 390049	29	$14,459	About average	$11,918	$85,696
UPMC HanoverHanover, PA · CCN 390233	12	$14,559	About average	$8,017	$29,909
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	21	$16,096	15% above the national average	$11,926	$112,798
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	21	$16,278	16% above the national average	$12,870	$58,767
Milton S Hershey Medical CenterHershey, PA · CCN 390256	16	$16,367	17% above the national average	$13,295	$69,721
Geisinger Medical CenterDanville, PA · CCN 390006	11	$16,625	18% above the national average	$10,104	$104,977
Nazareth HospitalPhiladelphia, PA · CCN 390204	12	$17,668	26% above the national average	$10,722	$50,964
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	21	$18,190	30% above the national average	$14,496	$50,197
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	13	$18,722	33% above the national average	$11,377	$184,105
Temple University HospitalPhiladelphia, PA · CCN 390027	31	$18,896	35% above the national average	$13,265	$151,946

National trend

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

Average payment
Average billed charge

2020: 25,245 stays at 1,180 hospitals · 2021: 23,396 stays at 1,131 hospitals · 2022: 23,255 stays at 1,129 hospitals · 2023: 21,445 stays at 1,077 hospitals · 2024: 20,859 stays at 1,057 hospitals

View data as a table

National average payment and billed charge for Diabetes with MCC
Year of care	Average payment	Average billed charge
2020	$12K	$52K
2021	$13K	$57K
2022	$13K	$61K
2023	$13K	$65K
2024	$14K	$70K

By state, 2024

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

Show all 51 states

Average payment by state for Diabetes with MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Arkansas	13	258	$10,387	$9,458–$10,836
Louisiana	10	178	$10,710	$9,580–$11,663
Mississippi	13	278	$10,806	$10,109–$10,823
Kentucky	10	199	$10,945	$10,003–$11,861
Montana	3	34	$11,321	$11,022–$11,535
Indiana	21	361	$11,409	$10,606–$11,610
Oklahoma	14	312	$11,469	$10,073–$11,627
Iowa	6	103	$11,476	$10,164–$12,000
Kansas	11	179	$11,490	$10,779–$11,932
Tennessee	25	498	$11,516	$10,157–$11,554
Alabama	15	247	$11,575	$9,751–$11,695
Vermont	2	30	$11,641	$11,407–$11,741
West Virginia	10	144	$11,699	$9,978–$11,983
Idaho	2	40	$12,030	$11,633–$12,515
Florida	92	1,974	$12,129	$10,485–$12,418
South Carolina	18	355	$12,173	$9,739–$13,088
Colorado	9	155	$12,389	$11,201–$12,409
Texas	85	1,703	$12,396	$10,830–$13,072
Arizona	15	238	$12,493	$10,998–$12,645
South Dakota	3	56	$12,583	$12,031–$12,919
Nebraska	5	71	$12,603	$10,651–$14,378
Missouri	23	443	$12,672	$10,724–$12,417
Ohio	39	689	$12,772	$10,438–$13,416
North Dakota	1	12	$12,795	$12,795–$12,795
North Carolina	28	613	$12,903	$11,227–$12,924
Michigan	35	657	$12,973	$11,582–$13,401
Illinois	49	936	$13,016	$11,444–$13,527
Virginia	32	646	$13,061	$10,708–$13,141
Nevada	13	300	$13,117	$11,934–$13,620
Pennsylvania	40	768	$13,208	$11,398–$14,335
New Hampshire	6	103	$13,372	$11,251–$13,227
Delaware	4	123	$13,436	$12,316–$13,765
Wisconsin	11	202	$13,564	$11,790–$14,027
Utah	5	74	$13,675	$12,378–$14,230
New Mexico	6	106	$13,779	$11,815–$14,955
Georgia	40	718	$14,000	$11,384–$14,904
Washington	20	322	$14,352	$12,686–$14,117
New Jersey	40	830	$14,432	$12,244–$15,691
Minnesota	15	287	$14,746	$11,154–$16,360
Massachusetts	31	814	$14,848	$11,650–$16,037
Oregon	8	126	$15,238	$14,388–$15,788
Wyoming	1	25	$15,261	$15,261–$15,261
Hawaii	1	18	$15,417	$15,417–$15,417
Alaska	2	34	$15,993	$15,093–$17,132
Rhode Island	3	54	$16,217	$15,770–$16,510
California	119	2,205	$16,938	$14,697–$17,107
Connecticut	9	222	$17,178	$15,103–$16,700
Maine	2	43	$18,505	$14,716–$19,439
New York	61	1,452	$19,844	$13,878–$22,642
District of Columbia	4	85	$20,553	$16,907–$23,798
Maryland	27	539	$20,965	$17,443–$24,000

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.