Insuficiencia respiratoria en Pensilvania
MS-DRG 189: Pulmonary edema and respiratory failure
Los hospitales de Pensilvania facturaron a Medicare una cantidad típica de $52,304 por esta hospitalización en 2024, unas 5.1 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 | 12 | $36,033 | $7,976 | – | – | |
| St Clair Hospital | Pittsburgh | 28 | $23,759 | $8,161 | – | – | |
| Jefferson Hospital | Jefferson Hills | 35 | $43,072 | $8,167 | – | – | |
| Wellspan Evangelical Community Hospital | Lewisburg | 13 | $55,475 | $8,361 | – | – | |
| Jefferson Lansdale Hospital | Lansdale | 15 | $36,823 | $8,381 | – | – | |
| Upmc East | Monroeville | 19 | $61,175 | $8,436 | – | – | |
| Upmc Jameson | New Castle | 14 | $27,445 | $8,472 | – | – | |
| Upmc Carlisle | Carlisle | 24 | $55,231 | $8,548 | – | – | |
| Upmc Horizon | Greenville | 15 | $48,100 | $8,558 | – | – | |
| Lehigh Valley Hospital - Hazleton | Hazleton | 30 | $52,623 | $8,607 | – | – | |
| Pottstown Hospital | Pottstown | 20 | $58,863 | $8,620 | – | – | |
| Paoli Hospital | Paoli | 42 | $84,436 | $8,684 | – | – | |
| Excela Health Westmoreland Regional Hospital | Greensburg | 23 | $35,281 | $8,687 | – | – | |
| Upmc Northwest | Seneca | 23 | $32,789 | $8,692 | – | – | |
| St Luke's Hospital - Grand View Campus | Sellersville | 29 | $42,910 | $8,706 | – | – | |
| Heritage Valley Sewickley | Sewickley | 11 | $19,732 | $8,774 | – | – | |
| Doylestown Hospital | Doylestown | 20 | $35,012 | $8,869 | – | – | |
| Allegheny Valley Hospital | Natrona | 33 | $34,556 | $8,894 | – | – | |
| Wellspan Ephrata Community Hospital | Ephrata | 14 | $41,578 | $8,904 | – | – | |
| Penn Highlands Dubois | Dubois | 39 | $22,279 | $8,970 | – | – | |
| Independence Health System Butler Memorial Hospita | Butler | 15 | $27,489 | $9,018 | – | – | |
| Chester County Hospital | West Chester | 62 | $50,873 | $9,145 | – | – | |
| Wilkes-Barre General Hospital | Wilkes-Barre | 76 | $67,919 | $9,206 | – | – | |
| Upmc Williamsport | Williamsport | 34 | $51,642 | $9,226 | – | – | |
| The Washington Hospital | Washington | 16 | $13,514 | $9,341 | – | – | |
| Excela Health - Frick Hospital | Mount Pleasant | 11 | $26,946 | $9,374 | – | – | |
| Regional Hospital of Scranton | Scranton | 26 | $81,763 | $9,376 | – | – | |
| Holy Redeemer Hospital and Medical Center | Meadowbrook | 25 | $35,453 | $9,426 | – | – | |
| Upmc Somerset | Somerset | 14 | $16,682 | $9,447 | – | – | |
| Ahn Wexford Hospital | Wexford | 36 | $32,803 | $9,500 | – | – | |
| Uniontown Hospital | Uniontown | 30 | $23,265 | $9,609 | – | – | |
| Bryn Mawr Hospital | Bryn Mawr | 54 | $77,803 | $9,637 | – | – | |
| Geisinger St. Luke's Hospital | Orwigsburg | 32 | $57,724 | $9,641 | – | – | |
| Riddle Memorial Hospital | Media | 40 | $64,051 | $9,684 | – | – | |
| Upmc Altoona | Altoona | 22 | $38,432 | $9,712 | – | – | |
| Forbes Hospital | Monroeville | 28 | $51,674 | $9,732 | – | – | |
| Geisinger-Community Medical Center | Scranton | 113 | $97,935 | $9,757 | – | – | |
| Schuylkill Medical Center - South Jackson Street | Pottsville | 22 | $56,092 | $9,850 | – | – | |
| Wellspan Chambersburg Hospital | Chambersburg | 96 | $34,598 | $9,883 | – | – | |
| St Luke's Hospital - Monroe Campus | Stroudsburg | 57 | $72,204 | $9,944 | – | – | |
| Heritage Valley Beaver | Beaver | 20 | $13,930 | $9,974 | – | – | |
| Gettysburg Hospital | Gettysburg | 24 | $43,710 | $10,066 | – | – | |
| Upmc Passavant | Pittsburgh | 25 | $67,063 | $10,089 | – | – | |
| Jefferson Abington Hospital | Abington | 54 | $40,975 | $10,112 | $11,373 | $18,068$12,407–$25,251 · 22 planes | |
| Lancaster General Hospital | Lancaster | 141 | $39,635 | $10,179 | – | – | |
| Wellspan Good Samaritan Hospital | Lebanon | 20 | $41,752 | $10,180 | – | – | |
| St Mary Medical Center | Langhorne | 41 | $34,773 | $10,204 | – | – | |
| Phoenixville Hospital | Phoenixville | 37 | $65,018 | $10,221 | – | – | |
| Geisinger-Lewistown Hospital | Lewistown | 38 | $53,329 | $10,223 | – | – | |
| Penn State Health Holy Spirit Medical Center | Camp Hill | 42 | $56,234 | $10,245 | – | – | |
| Lehigh Valley Hospital - Pocono | East Stroudsburg | 20 | $65,109 | $10,410 | – | – | |
| Wayne Memorial Hospital | Honesdale | 22 | $35,783 | $10,544 | – | – | |
| Penn State Health St. Joseph | Reading | 37 | $51,639 | $10,609 | – | – | |
| Upmc Pinnacle Hospitals | Harrisburg | 41 | $57,822 | $10,626 | – | – | |
| St Luke's Hospital - Carbon Campus | Lehighton | 39 | $72,705 | $10,796 | – | – | |
| Geisinger-Bloomsburg Hospital | Bloomsburg | 23 | $48,142 | $10,841 | – | – | |
| Upmc St Margaret | Pittsburgh | 27 | $51,986 | $10,903 | – | – | |
| Wellspan York Hospital | York | 53 | $46,324 | $10,920 | – | – | |
| St Luke's Hospital - Upper Bucks Campus | Quakertown | 42 | $96,343 | $10,943 | – | – | |
| Saint Vincent Hospital | Erie | 25 | $64,516 | $11,005 | – | – | |
| Jefferson Health- Northeast | Philadelphia | 88 | $38,304 | $11,085 | – | – | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 128 | $101,285 | $11,097 | – | – | |
| Lehigh Valley Hospital | Allentown | 193 | $77,775 | $11,185 | – | $24,600$12,577–$28,310 · 16 planes | |
| Upmc Hamot | Erie | 65 | $87,449 | $11,255 | – | – | |
| Penn State Health Hampden Medical Center | Enola | 26 | $43,375 | $11,255 | – | – | |
| Upmc McKeesport Hospital | Mc Keesport | 12 | $38,109 | $11,273 | – | – | |
| Warren General Hospital | Warren | 29 | $20,270 | $11,277 | – | – | |
| St Luke's Miners Memorial Hospital | Coaldale | 36 | $51,664 | $11,278 | – | – | |
| Reading Hospital | West Reading | 86 | $54,241 | $11,363 | – | – | |
| Main Line Hospital Lankenau | Wynnewood | 47 | $85,635 | $11,456 | – | – | |
| Robert Packer Hospital | Sayre | 65 | $39,563 | $11,458 | – | – | |
| Mount Nittany Medical Center | State College | 42 | $43,251 | $11,481 | – | – | |
| Conemaugh Memorial Medical Center | Johnstown | 20 | $30,184 | $11,756 | – | – | |
| Penn State Health Lancaster Medical Center | Lancaster | 48 | $50,975 | $11,788 | – | – | |
| St Luke's Hospital - Easton Campus | Easton | 15 | $64,071 | $11,825 | – | – | |
| Upmc Memorial | York | 36 | $55,406 | $11,847 | – | – | |
| Upmc Hanover | Hanover | 44 | $67,729 | $11,919 | – | – | |
| Suburban Community Hospital | Norristown | 13 | $61,016 | $11,942 | – | – | |
| Wellspan Waynesboro Hospital | Waynesboro | 30 | $35,102 | $11,985 | – | – | |
| Jefferson Einstein Montgomery Hospital | East Norriton | 74 | $41,116 | $12,045 | – | – | |
| Roxborough Memorial Hospital | Philadelphia | 18 | $66,963 | $12,139 | – | – | |
| Crozer Chester Medical Center | Upland | 54 | $98,231 | $12,176 | – | – | |
| Upmc Mercy | Pittsburgh | 12 | $62,004 | $12,224 | – | – | |
| Temple Health - Chestnut Hill Hospital | Philadelphia | 56 | $137,225 | $12,375 | – | – | |
| St Lukes Hospital | Bethlehem | 89 | $85,190 | $12,589 | – | $18,703$16,448–$23,886 · 7 planes | |
| Nazareth Hospital | Philadelphia | 38 | $49,661 | $13,139 | – | – | |
| Upmc Presbyterian Shadyside | Pittsburgh | 64 | $157,287 | $13,336 | – | $19,274$9,010–$33,655 · 8 planes | |
| Penn Presbyterian Medical Center | Philadelphia | 20 | $106,038 | $13,635 | – | – | |
| Geisinger Medical Center | Danville | 130 | $104,717 | $13,665 | – | – | |
| Allegheny General Hospital | Pittsburgh | 44 | $64,063 | $13,732 | – | – | |
| Milton S Hershey Medical Center | Hershey | 103 | $61,665 | $13,942 | – | – | |
| St Luke's Hospital - Anderson Campus | Easton | 64 | $79,824 | $14,240 | – | – | |
| Pennsylvania Hospital | Philadelphia | 14 | $100,530 | $14,627 | – | – | |
| Mercy Catholic Medical Center- Mercy Fitzgerald | Darby | 35 | $55,077 | $15,587 | – | – | |
| Temple University Hospital | Philadelphia | 77 | $127,947 | $15,876 | – | – | |
| Thomas Jefferson University Hospital | Philadelphia | 67 | $65,685 | $16,083 | $15,059 | $27,380$14,110–$39,306 · 23 planes | |
| Jefferson Einstein Philadelphia Hospital | Philadelphia | 26 | $56,941 | $16,490 | – | – | |
| Hospital of Univ of Pennsylvania | Philadelphia | 76 | $202,925 | $22,112 | – | – |
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 respiratoria significa que los pulmones no pueden mantener suficiente oxígeno en la sangre ni eliminar el dióxido de carbono. El líquido en los pulmones (edema pulmonar) es una de las causas incluidas aquí.
Qué esperar
Oxígeno, a menudo una mascarilla con presión (BiPAP), medicamentos para tratar la causa y vigilancia estrecha, con frecuencia en cuidados intensivos.
Qué hace subir o bajar la factura
El apoyo respiratorio y los días en cuidados intensivos forman la mayor parte de la factura.
Información general, no es asesoría médica.
Preguntas frecuentes
¿Cuánto cuesta una hospitalización por insuficiencia respiratoria en Pensilvania?
En 98 hospitales de Pensilvania, la factura típica por insuficiencia respiratoria fue de $52,304 en 2024, y Medicare y el paciente juntos pagaron típicamente $10,234. El hospital típico de EE. UU. facturó $48,417.
¿Qué hospitales de Pensilvania facturan menos y más por insuficiencia respiratoria?
La factura promedio más baja es la de The Washington Hospital, $13,514. La más alta es la de Hospital of Univ of Pennsylvania, $202,925. 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.