Sepsis, con complicaciones mayores en Pensilvania
MS-DRG 871: Septicemia or severe sepsis without mv >96 hours with mcc
Los hospitales de Pensilvania facturaron a Medicare una cantidad típica de $66,179 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.
Relacionados:Sepsis
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 | 30 | $57,806 | $11,850 | – | – | |
| Ahn Emerus Westmoreland, LLC | Greensburg | 16 | $24,230 | $12,009 | – | – | |
| St Clair Hospital | Pittsburgh | 155 | $38,328 | $12,184 | – | – | |
| Allegheny Valley Hospital | Natrona | 61 | $55,922 | $12,227 | – | – | |
| Excela Health - Frick Hospital | Mount Pleasant | 56 | $27,336 | $12,393 | – | – | |
| Heritage Valley Sewickley | Sewickley | 35 | $22,149 | $12,537 | – | – | |
| Upmc Horizon | Greenville | 29 | $45,917 | $12,618 | – | – | |
| Upmc Jameson | New Castle | 77 | $38,625 | $12,624 | – | – | |
| Geisinger Medical Center Muncy | Muncy | 23 | $38,588 | $12,728 | – | – | |
| Upmc Carlisle | Carlisle | 168 | $56,269 | $12,760 | – | – | |
| Jefferson Lansdale Hospital | Lansdale | 271 | $47,099 | $12,818 | – | – | |
| Penn Highlands Mon Valley | Monongahela | 48 | $34,841 | $12,824 | – | – | |
| Upmc Northwest | Seneca | 68 | $48,653 | $13,002 | – | – | |
| Sharon Regional Medical Center | Sharon | 27 | $39,096 | $13,161 | – | – | |
| Pottstown Hospital | Pottstown | 162 | $83,505 | $13,174 | – | – | |
| Lehigh Valley Hospital - Hazleton | Hazleton | 171 | $79,592 | $13,208 | – | – | |
| Excela Health Westmoreland Regional Hospital | Greensburg | 160 | $37,335 | $13,214 | – | – | |
| Acmh Hospital | Kittanning | 14 | $33,652 | $13,311 | – | – | |
| Regional Hospital of Scranton | Scranton | 204 | $82,752 | $13,408 | – | – | |
| Jefferson Hospital | Jefferson Hills | 128 | $67,923 | $13,510 | – | – | |
| Wellspan Evangelical Community Hospital | Lewisburg | 80 | $80,480 | $13,589 | – | – | |
| Independence Health System Butler Memorial Hospita | Butler | 59 | $40,698 | $13,602 | – | – | |
| Doylestown Hospital | Doylestown | 448 | $44,529 | $13,613 | – | – | |
| Conemaugh Nason Medical Center | Roaring Spring | 33 | $20,377 | $13,620 | – | – | |
| Upmc Passavant | Pittsburgh | 106 | $104,488 | $13,641 | – | – | |
| Riddle Memorial Hospital | Media | 398 | $96,132 | $13,690 | – | – | |
| Wellspan Ephrata Community Hospital | Ephrata | 258 | $59,119 | $13,698 | – | – | |
| Geisinger St. Luke's Hospital | Orwigsburg | 181 | $63,733 | $13,700 | – | – | |
| Uniontown Hospital | Uniontown | 157 | $31,809 | $13,701 | – | – | |
| Indiana Regional Medical Center | Indiana | 111 | $39,977 | $13,742 | – | – | |
| Lehigh Valley Hospital - Dickson City | Dickson City | 37 | $61,848 | $13,748 | – | – | |
| Penn State Health Holy Spirit Medical Center | Camp Hill | 113 | $83,842 | $13,753 | – | – | |
| Paoli Hospital | Paoli | 416 | $107,338 | $13,955 | – | – | |
| Upmc East | Monroeville | 105 | $94,903 | $13,965 | – | – | |
| Chester County Hospital | West Chester | 349 | $69,570 | $14,204 | – | – | |
| St Luke's Hospital - Grand View Campus | Sellersville | 153 | $57,828 | $14,210 | – | – | |
| The Washington Hospital | Washington | 76 | $24,689 | $14,216 | – | – | |
| Ahn Wexford Hospital | Wexford | 102 | $60,307 | $14,242 | – | – | |
| Heritage Valley Beaver | Beaver | 84 | $30,263 | $14,339 | – | – | |
| Penn Highlands Dubois | Dubois | 194 | $31,962 | $14,365 | – | – | |
| Holy Redeemer Hospital and Medical Center | Meadowbrook | 185 | $44,906 | $14,403 | – | – | |
| Upmc Williamsport | Williamsport | 256 | $67,464 | $14,463 | – | – | |
| Geisinger-Bloomsburg Hospital | Bloomsburg | 60 | $47,472 | $14,599 | – | – | |
| Wilkes-Barre General Hospital | Wilkes-Barre | 139 | $93,629 | $14,688 | – | – | |
| Forbes Hospital | Monroeville | 156 | $70,896 | $14,701 | – | – | |
| Excela Health Latrobe Hospital | Latrobe | 124 | $30,016 | $14,766 | – | – | |
| Penn Highlands Huntingdon | Huntingdon | 39 | $23,483 | $14,858 | – | – | |
| Phoenixville Hospital | Phoenixville | 161 | $81,239 | $14,867 | – | – | |
| Meadville Medical Center | Meadville | 58 | $44,029 | $14,916 | – | – | |
| Upmc Memorial | York | 134 | $65,249 | $14,922 | – | – | |
| Grove City Medical Center | Grove City | 42 | $41,940 | $14,960 | – | – | |
| St Luke's Hospital - Monroe Campus | Stroudsburg | 246 | $125,218 | $14,999 | – | – | |
| St Luke's Hospital - Carbon Campus | Lehighton | 170 | $127,114 | $15,240 | – | – | |
| Upmc Somerset | Somerset | 50 | $28,785 | $15,298 | – | – | |
| Geisinger-Community Medical Center | Scranton | 556 | $131,956 | $15,337 | – | – | |
| Lehigh Valley Hospital - Pocono | East Stroudsburg | 120 | $107,223 | $15,339 | – | – | |
| Gettysburg Hospital | Gettysburg | 249 | $50,130 | $15,408 | – | – | |
| Upmc St Margaret | Pittsburgh | 69 | $86,652 | $15,480 | – | – | |
| Bryn Mawr Hospital | Bryn Mawr | 449 | $105,601 | $15,481 | – | – | |
| Wellspan Good Samaritan Hospital | Lebanon | 350 | $47,218 | $15,593 | – | – | |
| Upmc Altoona | Altoona | 165 | $61,463 | $15,598 | – | – | |
| Penn State Health St. Joseph | Reading | 142 | $68,489 | $15,604 | – | – | |
| St Mary Medical Center | Langhorne | 432 | $47,299 | $15,656 | – | – | |
| Wellspan Chambersburg Hospital | Chambersburg | 535 | $49,592 | $15,658 | – | – | |
| Upmc Bedford Memorial | Everett | 26 | $29,414 | $15,658 | – | – | |
| Upmc McKeesport Hospital | Mc Keesport | 18 | $75,471 | $15,711 | – | – | |
| Schuylkill Medical Center - South Jackson Street | Pottsville | 106 | $85,802 | $15,731 | – | – | |
| Lancaster General Hospital | Lancaster | 309 | $61,192 | $15,949 | – | – | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 543 | $133,564 | $16,101 | – | – | |
| Geisinger-Lewistown Hospital | Lewistown | 151 | $60,094 | $16,168 | – | – | |
| St Luke's Miners Memorial Hospital | Coaldale | 117 | $73,219 | $16,201 | – | – | |
| Warren General Hospital | Warren | 113 | $19,336 | $16,207 | – | – | |
| St Luke's Hospital - Easton Campus | Easton | 67 | $95,266 | $16,229 | – | – | |
| Punxsutawney Area Hospital | Punxsutawney | 13 | $16,547 | $16,267 | – | – | |
| Upmc Lititz | Lititz | 53 | $51,873 | $16,291 | – | – | |
| Upmc Pinnacle Hospitals | Harrisburg | 458 | $70,586 | $16,689 | – | – | |
| Wayne Memorial Hospital | Honesdale | 54 | $44,627 | $16,759 | – | – | |
| Jefferson Abington Hospital | Abington | 803 | $66,179 | $16,796 | $17,671 | $28,409$19,508–$39,704 · 22 planes | |
| St Luke's Hospital - Upper Bucks Campus | Quakertown | 240 | $136,608 | $16,900 | – | – | |
| Lower Bucks Hospital | Bristol | 56 | $85,689 | $16,929 | – | – | |
| Reading Hospital | West Reading | 814 | $69,880 | $16,985 | – | – | |
| Upmc Hanover | Hanover | 158 | $61,469 | $17,015 | – | – | |
| Jefferson Health- Northeast | Philadelphia | 764 | $64,908 | $17,221 | – | – | |
| Suburban Community Hospital | Norristown | 53 | $69,620 | $17,387 | – | – | |
| Robert Packer Hospital | Sayre | 230 | $57,353 | $17,434 | – | – | |
| Lehigh Valley Hospital | Allentown | 992 | $110,274 | $17,438 | – | $38,616$17,076–$44,348 · 16 planes | |
| Upmc Hamot | Erie | 180 | $140,999 | $17,707 | – | – | |
| Jefferson Einstein Montgomery Hospital | East Norriton | 186 | $59,890 | $17,712 | – | – | |
| Saint Vincent Hospital | Erie | 192 | $111,753 | $17,787 | – | – | |
| Wellspan Waynesboro Hospital | Waynesboro | 109 | $37,547 | $17,805 | – | – | |
| Roxborough Memorial Hospital | Philadelphia | 58 | $92,299 | $17,874 | – | – | |
| Main Line Hospital Lankenau | Wynnewood | 520 | $113,263 | $17,951 | – | – | |
| Mount Nittany Medical Center | State College | 173 | $53,925 | $18,142 | – | – | |
| Penn State Health Lancaster Medical Center | Lancaster | 59 | $78,260 | $18,363 | – | – | |
| Conemaugh Memorial Medical Center | Johnstown | 208 | $51,980 | $18,393 | – | – | |
| Wellspan York Hospital | York | 711 | $68,009 | $18,404 | – | – | |
| Temple Health - Chestnut Hill Hospital | Philadelphia | 161 | $202,532 | $18,448 | – | – | |
| West Penn Hospital | Pittsburgh | 37 | $113,284 | $18,506 | – | – | |
| Upmc Mercy | Pittsburgh | 85 | $107,506 | $18,660 | – | – | |
| St Lukes Hospital | Bethlehem | 457 | $137,361 | $18,878 | – | $29,408$24,234–$34,978 · 7 planes | |
| Nazareth Hospital | Philadelphia | 251 | $65,272 | $19,056 | – | – | |
| Independence Health System Clarion Hospital | Clarion | 23 | $23,557 | $19,063 | – | – | |
| Pennsylvania Hospital | Philadelphia | 143 | $139,673 | $19,415 | – | – | |
| Crozer Chester Medical Center | Upland | 294 | $170,870 | $19,746 | – | – | |
| Magee Womens Hospital of Upmc Health System | Pittsburgh | 43 | $141,507 | $19,804 | – | – | |
| Geisinger Medical Center | Danville | 522 | $143,518 | $20,353 | – | – | |
| Penn Presbyterian Medical Center | Philadelphia | 159 | $162,306 | $20,947 | – | – | |
| Allegheny General Hospital | Pittsburgh | 117 | $105,288 | $21,137 | – | – | |
| St Luke's Hospital - Anderson Campus | Easton | 452 | $121,969 | $21,276 | – | – | |
| Mercy Catholic Medical Center- Mercy Fitzgerald | Darby | 170 | $77,341 | $22,047 | – | – | |
| Penn State Health Hampden Medical Center | Enola | 59 | $83,033 | $22,441 | – | – | |
| Upmc Presbyterian Shadyside | Pittsburgh | 306 | $233,517 | $22,790 | – | $35,385$25,923–$59,902 · 6 planes | |
| Milton S Hershey Medical Center | Hershey | 263 | $100,785 | $22,924 | – | – | |
| Temple University Hospital | Philadelphia | 128 | $217,652 | $24,454 | – | – | |
| Jefferson Einstein Philadelphia Hospital | Philadelphia | 118 | $85,782 | $24,969 | – | – | |
| Thomas Jefferson University Hospital | Philadelphia | 439 | $105,757 | $25,881 | $23,261 | $41,980$22,187–$61,514 · 23 planes | |
| Hospital of Univ of Pennsylvania | Philadelphia | 253 | $286,636 | $35,189 | – | – |
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 sepsis es la reacción extrema del cuerpo a una infección: la infección, a menudo de los pulmones, las vías urinarias, la piel o el abdomen, desencadena una reacción en cadena que puede dañar los órganos. Es una emergencia médica y la causa más común por la que se hospitaliza a los pacientes de Medicare.
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
El tratamiento empieza rápido: antibióticos y líquidos por la vena, análisis de sangre para encontrar la infección y vigilancia estrecha. Muchos pacientes se quedan varios días; los casos graves necesitan cuidados intensivos.
Qué hace subir o bajar la factura
La factura sube con el tiempo en cuidados intensivos, la cantidad de pruebas y estudios de imagen, y cualquier soporte de órganos, como diálisis o un respirador.
Información general, no es asesoría médica.
Preguntas frecuentes
¿Cuánto cuesta una hospitalización por sepsis, con complicaciones mayores en Pensilvania?
En 117 hospitales de Pensilvania, la factura típica por sepsis, con complicaciones mayores fue de $66,179 en 2024, y Medicare y el paciente juntos pagaron típicamente $15,481. El hospital típico de EE. UU. facturó $65,249.
¿Qué hospitales de Pensilvania facturan menos y más por sepsis, con complicaciones mayores?
La factura promedio más baja es la de Punxsutawney Area Hospital, $16,547. La más alta es la de Hospital of Univ of Pennsylvania, $286,636. 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.