Other Circulatory System O.r. Procedures in Pennsylvania
MS-DRG 264: Other circulatory system o.r. procedures
$129,553typical hospital bill
$28,239typical amount paid
$25,737–$72,592range paid across 10 hospitals
Pennsylvania hospitals billed Medicare a typical $129,553 for this stay in 2024, about 4.6 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) | |
|---|---|---|---|---|---|---|---|
| Jefferson Abington Hospital | Abington | 12 | $77,987 | $25,737 | $30,124 | $48,856$33,548–$68,281 · 22 plans | |
| Upmc Pinnacle Hospitals | Harrisburg | 11 | $76,280 | $26,000 | – | – | |
| Lancaster General Hospital | Lancaster | 19 | $122,895 | $26,545 | – | – | |
| Lehigh Valley Hospital | Allentown | 19 | $128,331 | $27,419 | – | $56,758$28,522–$72,983 · 21 plans | |
| Upmc Presbyterian Shadyside | Pittsburgh | 12 | $409,593 | $27,898 | – | $41,620$12,859–$70,245 · 8 plans | |
| Upmc Hamot | Erie | 13 | $126,709 | $28,580 | – | – | |
| St Lukes Hospital | Bethlehem | 11 | $130,775 | $28,863 | – | – | |
| Penn Presbyterian Medical Center | Philadelphia | 15 | $178,308 | $31,583 | – | – | |
| Hospital of Univ of Pennsylvania | Philadelphia | 13 | $404,822 | $59,010 | – | – | |
| Thomas Jefferson University Hospital | Philadelphia | 16 | $394,982 | $72,592 | $39,480 | $72,835$38,155–$102,894 · 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.