Dysequilibrium in Pennsylvania
MS-DRG 149: Dysequilibrium
$37,497typical hospital bill
$6,343typical amount paid
$5,180–$8,201range paid across 26 hospitals
Pennsylvania hospitals billed Medicare a typical $37,497 for this stay in 2024, about 5.9 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) | |
|---|---|---|---|---|---|---|---|
| Wellspan Evangelical Community Hospital | Lewisburg | 11 | $45,070 | $5,180 | – | – | |
| Riddle Memorial Hospital | Media | 11 | $50,295 | $5,361 | – | – | |
| Pottstown Hospital | Pottstown | 17 | $54,881 | $5,462 | – | – | |
| Wilkes-Barre General Hospital | Wilkes-Barre | 12 | $39,727 | $5,594 | – | – | |
| Penn State Health Lancaster Medical Center | Lancaster | 12 | $24,382 | $5,616 | – | – | |
| Chester County Hospital | West Chester | 36 | $36,588 | $5,619 | – | – | |
| Paoli Hospital | Paoli | 21 | $48,582 | $5,648 | – | – | |
| Holy Redeemer Hospital and Medical Center | Meadowbrook | 14 | $21,979 | $5,665 | – | – | |
| St Mary Medical Center | Langhorne | 20 | $27,631 | $5,708 | – | – | |
| Bryn Mawr Hospital | Bryn Mawr | 16 | $47,976 | $5,850 | – | – | |
| Penn State Health Holy Spirit Medical Center | Camp Hill | 12 | $22,939 | $6,083 | – | – | |
| Lancaster General Hospital | Lancaster | 18 | $24,766 | $6,108 | – | – | |
| Phoenixville Hospital | Phoenixville | 18 | $50,819 | $6,246 | – | – | |
| Doylestown Hospital | Doylestown | 12 | $18,163 | $6,440 | – | – | |
| Jefferson Abington Hospital | Abington | 47 | $28,655 | $6,446 | $7,064 | $10,992$7,548–$15,362 · 22 plans | |
| Upmc Pinnacle Hospitals | Harrisburg | 27 | $32,191 | $6,483 | – | – | |
| Wellspan Chambersburg Hospital | Chambersburg | 14 | $21,147 | $6,575 | – | – | |
| Wellspan York Hospital | York | 11 | $32,877 | $6,708 | – | – | |
| Reading Hospital | West Reading | 44 | $38,406 | $6,765 | – | – | |
| Lehigh Valley Hospital | Allentown | 64 | $48,058 | $6,940 | – | $15,491$7,119–$18,402 · 21 plans | |
| Jefferson Health- Northeast | Philadelphia | 16 | $31,267 | $7,041 | – | – | |
| Main Line Hospital Lankenau | Wynnewood | 11 | $61,024 | $7,050 | – | – | |
| Conemaugh Memorial Medical Center | Johnstown | 11 | $22,039 | $7,094 | – | – | |
| St Lukes Hospital | Bethlehem | 16 | $65,180 | $7,524 | – | – | |
| St Luke's Hospital - Monroe Campus | Stroudsburg | 19 | $73,241 | $7,664 | – | – | |
| St Luke's Hospital - Anderson Campus | Easton | 11 | $56,866 | $8,201 | – | – | |
| Thomas Jefferson University Hospital | Philadelphia | – | – | – | $9,447 | $16,432$8,585–$23,752 · 23 plans | |
| Upmc Presbyterian Shadyside | Pittsburgh | – | – | – | – | $14,714$9,918–$22,221 · 8 plans |
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.