Major Chest Procedures Without Cc/Mcc in Pennsylvania
MS-DRG 165: Major chest procedures without cc/mcc
$96,558typical hospital bill
$17,915typical amount paid
$13,772–$22,550range paid across 12 hospitals
Pennsylvania hospitals billed Medicare a typical $96,558 for this stay in 2024, about 5.4 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) | |
|---|---|---|---|---|---|---|---|
| Upmc Passavant | Pittsburgh | 18 | $159,825 | $13,772 | – | – | |
| Allegheny General Hospital | Pittsburgh | 12 | $82,458 | $15,969 | – | – | |
| Lehigh Valley Hospital | Allentown | 16 | $241,368 | $16,263 | – | $38,062$19,168–$44,344 · 16 plans | |
| Main Line Hospital Lankenau | Wynnewood | 16 | $88,797 | $16,953 | – | – | |
| St Lukes Hospital | Bethlehem | 19 | $137,506 | $17,278 | – | – | |
| Upmc Pinnacle Hospitals | Harrisburg | 12 | $104,318 | $17,788 | – | – | |
| Upmc Presbyterian Shadyside | Pittsburgh | 13 | $203,912 | $18,043 | – | $31,454$13,121–$54,923 · 8 plans | |
| Lancaster General Hospital | Lancaster | 12 | $46,973 | $18,453 | – | – | |
| Milton S Hershey Medical Center | Hershey | 11 | $68,038 | $18,899 | – | – | |
| Thomas Jefferson University Hospital | Philadelphia | 21 | $87,636 | $22,169 | $22,933 | $41,596$21,863–$60,682 · 23 plans | |
| Hospital of Univ of Pennsylvania | Philadelphia | 104 | $127,737 | $22,432 | – | – | |
| Wellspan York Hospital | York | 16 | $73,032 | $22,550 | – | – | |
| Jefferson Abington Hospital | Abington | – | – | – | $17,419 | $27,995$19,223–$39,125 · 22 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.