Inpatient stay · MS-DRG 638

Diabetes with CC

In 2024, Medicare and patients paid an average of $9,215 per stay at 1,193 hospitals. Half of hospitals averaged between $7,297 and $9,809.

National figures, 2024

Average payment per case: $9,215
Typical range (middle half of hospitals): $7,297–$9,809
Medicare’s share: $6,92675% of the payment
Average billed charge: $43,062
Hospitals reporting: 1,19326,317 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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Average payment across these 61 hospitals: $8,433National $9,215 · Pennsylvania $8,433
Median hospital: $7,768
Lowest to highest: $5,964–$13,803
Medicare stays: 1,240

61 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Diabetes with CC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
St Clair HospitalPittsburgh, PA · CCN 390228	12	$5,964	35% below the national average	$4,604	$20,739
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	11	$6,184	33% below the national average	$5,442	$32,564
Paoli HospitalPaoli, PA · CCN 390153	17	$6,416	30% below the national average	$5,543	$60,136
Pottstown HospitalPottstown, PA · CCN 390123	16	$6,570	29% below the national average	$5,193	$58,891
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	14	$6,581	29% below the national average	$4,964	$14,762
Doylestown HospitalDoylestown, PA · CCN 390203	22	$6,639	28% below the national average	$5,110	$24,044
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 390330	14	$6,685	27% below the national average	$5,473	$47,804
UPMC WilliamsportWilliamsport, PA · CCN 390045	11	$6,738	27% below the national average	$5,569	$30,653
Chester County HospitalWest Chester, PA · CCN 390179	30	$6,765	27% below the national average	$5,624	$35,605
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	17	$6,788	26% below the national average	$5,570	$53,702
Geisinger-Community Medical CenterScranton, PA · CCN 390001	21	$6,855	26% below the national average	$5,660	$54,268
Gettysburg HospitalGettysburg, PA · CCN 390065	15	$6,901	25% below the national average	$5,813	$25,205
Riddle Memorial HospitalMedia, PA · CCN 390222	21	$6,929	25% below the national average	$4,917	$47,310
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	14	$6,966	24% below the national average	$5,684	$33,105
Regional Hospital Of ScrantonScranton, PA · CCN 390237	20	$6,987	24% below the national average	$5,187	$48,558
Forbes HospitalMonroeville, PA · CCN 390267	24	$7,015	24% below the national average	$5,618	$32,196
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	18	$7,066	23% below the national average	$4,400	$28,380
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	14	$7,114	23% below the national average	$5,166	$26,559
UPMC AltoonaAltoona, PA · CCN 390073	14	$7,126	23% below the national average	$5,637	$30,711
Uniontown HospitalUniontown, PA · CCN 390041	12	$7,200	22% below the national average	$4,678	$15,641
UPMC MemorialYork, PA · CCN 390101	20	$7,313	21% below the national average	$4,505	$30,516
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	18	$7,377	20% below the national average	$3,831	$25,391
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	23	$7,383	20% below the national average	$6,105	$26,007
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	25	$7,456	19% below the national average	$5,619	$23,088
Heritage Valley BeaverBeaver, PA · CCN 390036	11	$7,525	18% below the national average	$5,818	$13,062
UPMC HanoverHanover, PA · CCN 390233	11	$7,565	18% below the national average	$5,726	$29,168
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	27	$7,593	18% below the national average	$4,607	$42,452
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	12	$7,622	17% below the national average	$5,197	$27,992
Wayne Memorial HospitalHonesdale, PA · CCN 390125	11	$7,676	17% below the national average	$6,489	$29,484
St Mary Medical CenterLanghorne, PA · CCN 390258	22	$7,729	16% below the national average	$5,777	$21,974
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	36	$7,768	16% below the national average	$6,094	$32,264
Lancaster General HospitalLancaster, PA · CCN 390100	26	$7,814	15% below the national average	$5,392	$27,470
Penn State Health St. JosephReading, PA · CCN 390096	11	$7,858	15% below the national average	$6,547	$37,247
Wellspan Waynesboro HospitalWaynesboro, PA · CCN 390138	11	$7,868	15% below the national average	$6,930	$24,128
Jefferson Abington HospitalAbington, PA · CCN 390231	45	$7,878	15% below the national average	$5,999	$31,049
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	12	$7,892	14% below the national average	$4,534	$29,124
Mount Nittany Medical CenterState College, PA · CCN 390268	11	$8,091	12% below the national average	$6,882	$19,986
UPMC St MargaretPittsburgh, PA · CCN 390102	11	$8,096	12% below the national average	$5,735	$58,109
Lehigh Valley HospitalAllentown, PA · CCN 390133	104	$8,308	About average	$6,455	$49,437
Robert Packer HospitalSayre, PA · CCN 390079	16	$8,309	About average	$6,880	$36,407
Reading HospitalWest Reading, PA · CCN 390044	44	$8,341	About average	$6,502	$33,889
UPMC HamotErie, PA · CCN 390063	15	$8,387	About average	$6,777	$53,973
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	30	$8,468	About average	$5,538	$58,917
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	12	$8,720	About average	$7,292	$25,429
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	15	$8,748	About average	$4,572	$54,089
Main Line Hospital LankenauWynnewood, PA · CCN 390195	21	$8,766	About average	$6,342	$60,314
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	12	$8,941	About average	$6,242	$28,958
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	16	$9,037	About average	$6,886	$95,761
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	19	$9,170	About average	$7,376	$61,129
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	16	$9,541	About average	$6,269	$77,649

National trend

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

Average payment
Average billed charge

2020: 34,068 stays at 1,452 hospitals · 2021: 30,423 stays at 1,346 hospitals · 2022: 26,027 stays at 1,218 hospitals · 2023: 25,195 stays at 1,191 hospitals · 2024: 26,317 stays at 1,193 hospitals

View data as a table

National average payment and billed charge for Diabetes with CC
Year of care	Average payment	Average billed charge
2020	$7,909	$33K
2021	$8,120	$35K
2022	$8,424	$39K
2023	$8,706	$41K
2024	$9,215	$43K

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 CC, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	3	43	$6,128	$5,881–$6,340
Kentucky	14	322	$6,906	$6,404–$7,085
Iowa	9	156	$7,037	$6,311–$7,024
Arkansas	14	235	$7,060	$6,488–$7,072
Mississippi	14	275	$7,165	$6,504–$7,318
Indiana	27	595	$7,481	$6,967–$7,829
North Dakota	2	52	$7,531	$7,463–$7,588
Louisiana	15	282	$7,553	$6,275–$7,971
Kansas	10	199	$7,706	$7,017–$7,879
West Virginia	10	181	$7,707	$6,537–$7,833
Alabama	19	403	$7,795	$6,706–$7,655
Tennessee	26	528	$7,830	$6,576–$8,023
Ohio	56	1,135	$7,869	$6,702–$8,424
Idaho	4	73	$7,953	$7,641–$8,067
Montana	4	60	$7,994	$7,132–$8,104
Oklahoma	18	330	$8,043	$6,735–$8,188
Virginia	30	762	$8,076	$7,204–$8,232
South Carolina	23	492	$8,083	$7,025–$8,828
Missouri	24	532	$8,112	$6,787–$8,784
Florida	100	2,501	$8,131	$7,131–$8,820
Nebraska	6	115	$8,166	$7,143–$8,665
Michigan	40	888	$8,254	$7,451–$8,455
New Hampshire	7	118	$8,299	$7,023–$8,269
South Dakota	3	77	$8,432	$7,857–$8,672
Pennsylvania	61	1,240	$8,433	$7,015–$8,766
Delaware	3	155	$8,549	$7,886–$8,689
North Carolina	37	869	$8,562	$7,241–$8,780
Colorado	5	85	$8,587	$7,431–$9,825
Arizona	21	367	$8,728	$7,525–$9,143
Minnesota	15	325	$8,764	$7,308–$8,694
Wisconsin	11	224	$8,784	$7,073–$8,801
Illinois	55	1,279	$8,823	$7,322–$9,050
New Mexico	6	105	$8,922	$7,435–$10,581
Utah	5	86	$9,022	$7,240–$9,928
Nevada	13	289	$9,042	$8,249–$9,822
Wyoming	3	55	$9,132	$8,582–$9,334
Massachusetts	38	1,214	$9,171	$7,665–$9,904
Washington	17	299	$9,196	$8,006–$9,196
Oregon	9	143	$9,458	$9,007–$9,400
New Jersey	45	1,138	$9,470	$8,266–$10,939
Georgia	36	644	$9,886	$8,070–$9,927
Connecticut	14	286	$10,029	$8,441–$10,420
Texas	82	1,784	$10,213	$7,650–$9,297
Alaska	2	39	$10,558	$9,625–$10,901
Rhode Island	3	81	$10,631	$9,354–$11,079
Hawaii	2	38	$10,664	$10,621–$11,164
Maine	3	60	$10,840	$9,158–$12,426
California	114	2,288	$11,262	$9,532–$11,921
Maryland	34	883	$12,104	$10,315–$12,977
New York	76	1,906	$12,304	$8,604–$13,565
District of Columbia	5	81	$12,314	$10,964–$15,871

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.