Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O in Pennsylvania
MS-DRG 023: Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
$246,866typical hospital bill
$51,010typical amount paid
$37,354–$71,600range paid across 21 hospitals
Pennsylvania hospitals billed Medicare a typical $246,866 for this stay in 2024, about 4.8 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| Paoli Hospital | Paoli | 18 | $260,998 | $37,354 | – | – | |
| Jefferson Health- Northeast | Philadelphia | 16 | $167,633 | $43,667 | – | – | |
| Upmc Altoona | Altoona | 16 | $165,961 | $43,931 | – | – | |
| Reading Hospital | West Reading | 17 | $220,628 | $44,163 | – | – | |
| Upmc Mercy | Pittsburgh | 22 | $224,194 | $45,147 | – | – | |
| Bryn Mawr Hospital | Bryn Mawr | 13 | $239,976 | $45,318 | – | – | |
| Upmc Hamot | Erie | 18 | $311,408 | $46,414 | – | – | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 26 | $363,435 | $49,090 | – | – | |
| Jefferson Abington Hospital | Abington | 27 | $175,042 | $49,881 | $51,409 | $83,806$57,547–$117,125 · 22 plans | |
| Wellspan York Hospital | York | 37 | $219,198 | $50,846 | – | – | |
| Lehigh Valley Hospital | Allentown | 36 | $432,409 | $51,010 | – | $116,722$83,143–$134,559 · 8 plans | |
| St Lukes Hospital | Bethlehem | 38 | $474,266 | $55,054 | – | – | |
| Upmc Pinnacle Hospitals | Harrisburg | 19 | $194,867 | $56,277 | – | – | |
| Upmc Presbyterian Shadyside | Pittsburgh | 36 | $520,013 | $56,673 | – | $96,193$10,079–$168,653 · 8 plans | |
| Allegheny General Hospital | Pittsburgh | 52 | $246,866 | $57,463 | – | – | |
| Milton S Hershey Medical Center | Hershey | 24 | $212,269 | $57,668 | – | – | |
| Lancaster General Hospital | Lancaster | 20 | $203,207 | $58,784 | – | – | |
| Thomas Jefferson University Hospital | Philadelphia | 46 | $271,106 | $64,844 | $67,201 | $126,351$65,449–$182,177 · 23 plans | |
| Temple University Hospital | Philadelphia | 13 | $578,124 | $67,835 | – | – | |
| Geisinger Medical Center | Danville | 30 | $403,893 | $70,032 | – | – | |
| Hospital of Univ of Pennsylvania | Philadelphia | 44 | $485,074 | $71,600 | – | – |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.