Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc in Pennsylvania
MS-DRG 040: Peripheral, cranial nerve and other nervous system procedures with mcc
$176,683typical hospital bill
$36,358typical amount paid
$29,658–$45,349range paid across 6 hospitals
Pennsylvania hospitals billed Medicare a typical $176,683 for this stay in 2024, about 4.9 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) | |
|---|---|---|---|---|---|---|---|
| Reading Hospital | West Reading | 11 | $111,755 | $29,658 | – | – | |
| Lancaster General Hospital | Lancaster | 15 | $104,746 | $33,586 | – | – | |
| Wellspan York Hospital | York | 12 | $166,503 | $35,516 | – | – | |
| Upmc Presbyterian Shadyside | Pittsburgh | 13 | $295,395 | $37,200 | – | $57,783$9,446–$101,310 · 8 plans | |
| Allegheny General Hospital | Pittsburgh | 12 | $228,516 | $42,374 | – | – | |
| Thomas Jefferson University Hospital | Philadelphia | 14 | $186,864 | $45,349 | $45,519 | $88,635$44,101–$123,246 · 23 plans | |
| Jefferson Abington Hospital | Abington | – | – | – | $34,761 | $56,470$38,776–$78,921 · 22 plans | |
| Lehigh Valley Hospital | Allentown | – | – | – | – | $74,934$33,683–$85,692 · 16 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.