Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc in Pennsylvania
MS-DRG 462: Bilateral or multiple major joint procedures of lower extremity without mcc
$102,319typical hospital bill
$22,316typical amount paid
$19,666–$25,263range paid across 4 hospitals
Pennsylvania hospitals billed Medicare a typical $102,319 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 | |
|---|---|---|---|---|---|
| Physicians Care Surgical Hospital | Royersford | 12 | $100,003 | $19,666 | |
| Rothman Orthopaedic Specialty Hospital | Bensalem | 11 | $104,634 | $19,886 | |
| Jefferson Health- Northeast | Philadelphia | 62 | $65,635 | $24,746 | |
| Surgical Institute of Reading | Wyomissing | 15 | $108,617 | $25,263 |
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.