Insuficiencia cardíaca, con complicaciones mayores en Pensilvania
MS-DRG 291: Heart failure and shock with mcc
Los hospitales de Pensilvania facturaron a Medicare una cantidad típica de $44,807 por esta hospitalización en 2024, unas 4.3 veces lo que realmente se pagó. El pago de Medicare depende sobre todo de la ubicación del hospital y de si es hospital universitario; la factura depende de la lista de precios del propio hospital, por eso las facturas varían mucho más que los pagos.
Hospitales de Pensilvania comparados
Facturado (precio de lista)Lo que realmente se pagó (Medicare + paciente)
| Hospital | Ciudad | Hospitalizaciones de Medicare | Facturado | Pagado | Precio en efectivo | Aseguradoras (mediana) | |
|---|---|---|---|---|---|---|---|
| Canonsburg General Hospital | Canonsburg | 28 | $38,359 | $7,810 | – | – | |
| Chan Soon- Shiong Medical Center at Windber | Windber | 19 | $14,384 | $8,196 | – | – | |
| St Clair Hospital | Pittsburgh | 113 | $22,187 | $8,417 | – | – | |
| Wellspan Evangelical Community Hospital | Lewisburg | 79 | $46,838 | $8,443 | – | – | |
| Upmc Passavant | Pittsburgh | 143 | $54,711 | $8,503 | – | – | |
| Jefferson Hospital | Jefferson Hills | 127 | $43,515 | $8,557 | – | – | |
| Heritage Valley Sewickley | Sewickley | 65 | $17,226 | $8,557 | – | – | |
| Upmc Carlisle | Carlisle | 114 | $42,886 | $8,638 | – | – | |
| Jefferson Lansdale Hospital | Lansdale | 147 | $37,098 | $8,841 | – | – | |
| Excela Health - Frick Hospital | Mount Pleasant | 27 | $25,173 | $8,842 | – | – | |
| Upmc East | Monroeville | 88 | $54,905 | $8,885 | – | – | |
| Allegheny Valley Hospital | Natrona | 55 | $31,839 | $8,904 | – | – | |
| Penn Highlands Mon Valley | Monongahela | 28 | $22,569 | $8,904 | – | – | |
| St Luke's Hospital - Grand View Campus | Sellersville | 155 | $42,054 | $8,911 | – | – | |
| Acmh Hospital | Kittanning | 32 | $20,120 | $8,920 | – | – | |
| Upmc Northwest | Seneca | 79 | $28,829 | $8,923 | – | – | |
| Penn State Health Holy Spirit Medical Center | Camp Hill | 130 | $48,159 | $8,925 | – | – | |
| Pottstown Hospital | Pottstown | 114 | $61,344 | $8,955 | – | – | |
| Excela Health Westmoreland Regional Hospital | Greensburg | 75 | $24,190 | $8,972 | – | – | |
| Ahn Wexford Hospital | Wexford | 78 | $37,497 | $9,044 | – | – | |
| Indiana Regional Medical Center | Indiana | 51 | $24,295 | $9,056 | – | – | |
| Riddle Memorial Hospital | Media | 227 | $68,752 | $9,070 | – | – | |
| Geisinger Medical Center Muncy | Muncy | 23 | $35,090 | $9,116 | – | – | |
| Upmc Memorial | York | 80 | $47,781 | $9,141 | – | – | |
| Wellspan Ephrata Community Hospital | Ephrata | 110 | $43,276 | $9,148 | – | – | |
| Doylestown Hospital | Doylestown | 360 | $33,036 | $9,156 | – | – | |
| Chester County Hospital | West Chester | 304 | $44,193 | $9,178 | – | – | |
| Sharon Regional Medical Center | Sharon | 35 | $26,784 | $9,207 | – | – | |
| Independence Health System Butler Memorial Hospita | Butler | 69 | $25,273 | $9,234 | – | – | |
| Uniontown Hospital | Uniontown | 73 | $25,789 | $9,305 | – | – | |
| Wilkes-Barre General Hospital | Wilkes-Barre | 175 | $62,107 | $9,328 | – | – | |
| Lehigh Valley Hospital - Hazleton | Hazleton | 124 | $50,068 | $9,338 | – | – | |
| Conemaugh Nason Medical Center | Roaring Spring | 26 | $13,380 | $9,381 | – | – | |
| Upmc Jameson | New Castle | 70 | $25,879 | $9,411 | – | – | |
| Holy Redeemer Hospital and Medical Center | Meadowbrook | 189 | $33,183 | $9,427 | – | – | |
| Upmc Horizon | Greenville | 39 | $32,677 | $9,450 | – | – | |
| Regional Hospital of Scranton | Scranton | 185 | $52,691 | $9,470 | – | – | |
| Upmc Williamsport | Williamsport | 131 | $43,695 | $9,473 | – | – | |
| Penn Highlands Dubois | Dubois | 156 | $20,547 | $9,541 | – | – | |
| Geisinger St. Luke's Hospital | Orwigsburg | 121 | $45,722 | $9,581 | – | – | |
| Paoli Hospital | Paoli | 323 | $78,337 | $9,614 | – | – | |
| St Luke's Hospital - Carbon Campus | Lehighton | 103 | $73,692 | $9,621 | – | – | |
| The Washington Hospital | Washington | 107 | $13,955 | $9,649 | – | – | |
| Lehigh Valley Hospital - Pocono | East Stroudsburg | 121 | $62,918 | $9,674 | – | – | |
| Upmc Altoona | Altoona | 103 | $31,110 | $9,739 | – | – | |
| Excela Health Latrobe Hospital | Latrobe | 41 | $23,839 | $9,811 | – | – | |
| Penn Highlands Huntingdon | Huntingdon | 27 | $17,595 | $9,829 | – | – | |
| St Luke's Hospital - Monroe Campus | Stroudsburg | 155 | $93,550 | $9,857 | – | – | |
| Meadville Medical Center | Meadville | 74 | $24,087 | $9,891 | – | – | |
| Schuylkill Medical Center - South Jackson Street | Pottsville | 82 | $53,424 | $9,897 | – | – | |
| Geisinger-Community Medical Center | Scranton | 187 | $75,317 | $9,991 | – | – | |
| Heritage Valley Beaver | Beaver | 97 | $18,643 | $10,031 | – | – | |
| Wellspan Good Samaritan Hospital | Lebanon | 141 | $32,160 | $10,071 | – | – | |
| Forbes Hospital | Monroeville | 130 | $52,991 | $10,073 | – | – | |
| Lancaster General Hospital | Lancaster | 343 | $37,508 | $10,114 | – | – | |
| Grove City Medical Center | Grove City | 17 | $27,038 | $10,253 | – | – | |
| Gettysburg Hospital | Gettysburg | 115 | $37,859 | $10,257 | – | – | |
| Upmc Somerset | Somerset | 17 | $21,708 | $10,269 | – | – | |
| Wellspan Chambersburg Hospital | Chambersburg | 257 | $35,314 | $10,289 | – | – | |
| Bryn Mawr Hospital | Bryn Mawr | 247 | $73,873 | $10,341 | – | – | |
| Phoenixville Hospital | Phoenixville | 104 | $56,404 | $10,466 | – | – | |
| Upmc St Margaret | Pittsburgh | 93 | $54,362 | $10,486 | – | – | |
| St Mary Medical Center | Langhorne | 254 | $35,079 | $10,557 | – | – | |
| Upmc McKeesport Hospital | Mc Keesport | 25 | $58,382 | $10,603 | – | – | |
| Lehigh Valley Hospital - Dickson City | Dickson City | 21 | $55,864 | $10,634 | – | – | |
| St Luke's Hospital - Easton Campus | Easton | 52 | $91,228 | $10,702 | – | – | |
| Upmc Hanover | Hanover | 159 | $44,811 | $10,717 | – | – | |
| Upmc Bedford Memorial | Everett | 16 | $26,194 | $10,728 | – | – | |
| Geisinger-Lewistown Hospital | Lewistown | 98 | $40,606 | $10,868 | – | – | |
| Penn State Health St. Joseph | Reading | 184 | $47,457 | $10,887 | – | – | |
| Wayne Memorial Hospital | Honesdale | 67 | $34,318 | $10,902 | – | – | |
| Geisinger-Bloomsburg Hospital | Bloomsburg | 39 | $39,863 | $10,905 | – | – | |
| West Penn Hospital | Pittsburgh | 27 | $65,456 | $10,939 | – | – | |
| Warren General Hospital | Warren | 24 | $14,800 | $10,981 | – | – | |
| Punxsutawney Area Hospital | Punxsutawney | 11 | $14,140 | $11,001 | – | – | |
| Jefferson Health- Northeast | Philadelphia | 323 | $39,398 | $11,001 | – | – | |
| St Luke's Hospital - Upper Bucks Campus | Quakertown | 104 | $100,093 | $11,025 | – | – | |
| Magee Womens Hospital of Upmc Health System | Pittsburgh | 17 | $91,833 | $11,186 | – | – | |
| Upmc Pinnacle Hospitals | Harrisburg | 496 | $50,605 | $11,260 | – | – | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 211 | $83,916 | $11,282 | – | – | |
| Reading Hospital | West Reading | 418 | $46,283 | $11,317 | – | – | |
| St Luke's Miners Memorial Hospital | Coaldale | 89 | $53,229 | $11,370 | – | – | |
| Saint Vincent Hospital | Erie | 173 | $62,109 | $11,386 | – | – | |
| Jefferson Abington Hospital | Abington | 420 | $50,871 | $11,447 | $11,804 | $18,905$12,893–$26,240 · 22 planes | |
| Upmc Lititz | Lititz | 42 | $48,331 | $11,497 | – | – | |
| Wellspan York Hospital | York | 304 | $46,689 | $11,521 | – | – | |
| Mount Nittany Medical Center | State College | 154 | $36,076 | $11,583 | – | – | |
| Upmc Kane | Kane | 15 | $14,532 | $11,603 | – | – | |
| Wellspan Waynesboro Hospital | Waynesboro | 75 | $30,935 | $11,639 | – | – | |
| Upmc Hamot | Erie | 170 | $93,616 | $11,646 | – | – | |
| Lehigh Valley Hospital | Allentown | 830 | $67,971 | $11,706 | – | $25,721$13,047–$29,349 · 16 planes | |
| Robert Packer Hospital | Sayre | 166 | $40,786 | $11,762 | – | – | |
| Roxborough Memorial Hospital | Philadelphia | 45 | $50,923 | $12,013 | – | – | |
| Temple Health - Chestnut Hill Hospital | Philadelphia | 110 | $119,643 | $12,126 | – | – | |
| Conemaugh Memorial Medical Center | Johnstown | 85 | $29,040 | $12,146 | – | – | |
| Crozer Chester Medical Center | Upland | 84 | $85,287 | $12,182 | – | – | |
| Suburban Community Hospital | Norristown | 12 | $49,358 | $12,209 | – | – | |
| Main Line Hospital Lankenau | Wynnewood | 357 | $93,251 | $12,360 | – | – | |
| Jefferson Einstein Montgomery Hospital | East Norriton | 205 | $43,448 | $12,441 | – | – | |
| Independence Health System Clarion Hospital | Clarion | 26 | $15,207 | $12,571 | – | – | |
| Lower Bucks Hospital | Bristol | 37 | $44,804 | $12,740 | – | – | |
| Nazareth Hospital | Philadelphia | 86 | $40,900 | $12,824 | – | – | |
| Upmc Mercy | Pittsburgh | 31 | $53,337 | $12,865 | – | – | |
| Penn State Health Lancaster Medical Center | Lancaster | 77 | $53,820 | $12,911 | – | – | |
| St Lukes Hospital | Bethlehem | 360 | $102,984 | $12,914 | – | $19,755$18,194–$25,327 · 7 planes | |
| Pennsylvania Hospital | Philadelphia | 118 | $110,377 | $13,643 | – | – | |
| Penn State Health Hampden Medical Center | Enola | 69 | $42,774 | $13,664 | – | – | |
| Allegheny General Hospital | Pittsburgh | 116 | $58,501 | $13,875 | – | – | |
| Geisinger Medical Center | Danville | 195 | $95,248 | $14,194 | – | – | |
| Upmc Presbyterian Shadyside | Pittsburgh | 177 | $128,276 | $14,435 | – | $18,488$9,037–$32,283 · 8 planes | |
| Penn Presbyterian Medical Center | Philadelphia | 107 | $104,498 | $14,523 | – | – | |
| Milton S Hershey Medical Center | Hershey | 198 | $59,804 | $14,594 | – | – | |
| St Luke's Hospital - Anderson Campus | Easton | 266 | $85,119 | $14,647 | – | – | |
| Mercy Catholic Medical Center- Mercy Fitzgerald | Darby | 90 | $55,802 | $15,874 | – | – | |
| Thomas Jefferson University Hospital | Philadelphia | 195 | $64,281 | $16,079 | $15,620 | $30,272$14,663–$42,555 · 23 planes | |
| Temple University Hospital | Philadelphia | 217 | $128,637 | $16,536 | – | – | |
| Jefferson Einstein Philadelphia Hospital | Philadelphia | 135 | $51,774 | $16,965 | – | – | |
| Hospital of Univ of Pennsylvania | Philadelphia | 146 | $169,901 | $20,596 | – | – |
Medicare: CMS, 2024 (hospitales con 11 o más hospitalizaciones de Medicare). Precios en efectivo y de aseguradoras: archivos de precios de los propios hospitales, donde se han leído; las cifras de aseguradoras son solo de planes comerciales, mediana y percentil 10 a 90 entre planes.
Qué es
La insuficiencia cardíaca significa que el corazón no bombea tan bien como el cuerpo necesita, y se acumula líquido en los pulmones y las piernas. La hospitalización suele venir después de una crisis: falta de aire, hinchazón y aumento rápido de peso.
Esta página trata la versión más compleja: pacientes que además tuvieron una complicación mayor u otra afección grave, como insuficiencia renal, una infección grave o insuficiencia respiratoria. Estas hospitalizaciones duran más y cuestan más.
Qué esperar
La atención se centra en eliminar el exceso de líquido con medicamentos por la vena, ajustar los medicamentos para el corazón y vigilar el ritmo cardíaco y la función de los riñones. La hospitalización suele durar de tres a seis días.
Qué hace subir o bajar la factura
El costo depende de la duración de la hospitalización, de pruebas del corazón como un ecocardiograma y de si se necesitan cuidados intensivos.
Información general, no es asesoría médica.
Preguntas frecuentes
¿Cuánto cuesta una hospitalización por insuficiencia cardíaca, con complicaciones mayores en Pensilvania?
En 118 hospitales de Pensilvania, la factura típica por insuficiencia cardíaca, con complicaciones mayores fue de $44,807 en 2024, y Medicare y el paciente juntos pagaron típicamente $10,315. El hospital típico de EE. UU. facturó $43,409.
¿Qué hospitales de Pensilvania facturan menos y más por insuficiencia cardíaca, con complicaciones mayores?
La factura promedio más baja es la de Conemaugh Nason Medical Center, $13,380. La más alta es la de Hospital of Univ of Pennsylvania, $169,901. Son promedios de Medicare de 2024; cada factura depende de la atención que necesita cada paciente.
¿Por qué la factura del hospital es mucho más alta que lo que se paga?
La factura sale de la lista de precios del propio hospital, que cada hospital fija por su cuenta. Medicare paga una cantidad fija por cada tipo de hospitalización, calculada con una fórmula nacional, y las aseguradoras privadas negocian sus propias tarifas. Por eso casi nadie paga el precio de lista, pero a los pacientes sin seguro o fuera de la red se les puede cobrar a partir de él.
¿Cuánto pagaré yo?
Con Medicare Original usted debe el deducible de la Parte A por una hospitalización, $1,736 en 2026, sin importar cuánto facture el hospital. Con un seguro privado depende de su deducible, su coseguro y su máximo de gastos de bolsillo. Si no tiene seguro, pida el precio en efectivo del hospital y su política de asistencia financiera. El estimador de costos lo calcula para su situación.
Antes de ir
- Pida un estimado. Los hospitales deben dar a los pacientes sin seguro o que pagan por su cuenta un estimado de buena fe por escrito antes de la atención programada.
- Verifique la red. Confirme que el hospital y los médicos están en la red de su plan.
- Pregunte por ayuda financiera. Los hospitales sin fines de lucro deben tener una política de asistencia financiera; muchos rebajan o perdonan facturas según los ingresos.
- Pida una factura detallada. Compárela con el estimado y pregunte por todo lo que no reconozca.