Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc in Pennsylvania
MS-DRG 988: Non-extensive o.r. procedures unrelated to principal diagnosis with cc
$106,195typical hospital bill
$18,809typical amount paid
$15,142–$20,499range paid across 3 hospitals
Pennsylvania hospitals billed Medicare a typical $106,195 for this stay in 2024, about 5.6 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) | |
|---|---|---|---|---|---|---|---|
| Lehigh Valley Hospital | Allentown | 13 | $106,195 | $15,142 | – | $33,454$16,541–$37,922 · 16 plans | |
| Upmc Presbyterian Shadyside | Pittsburgh | 11 | $226,675 | $18,809 | – | $30,413$22,124–$51,485 · 6 plans | |
| Reading Hospital | West Reading | 13 | $56,524 | $20,499 | – | – | |
| Jefferson Abington Hospital | Abington | – | – | – | $15,009 | $24,137$16,506–$33,595 · 22 plans | |
| Thomas Jefferson University Hospital | Philadelphia | – | – | – | $19,794 | $38,651$18,773–$54,362 · 23 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.