Biopsies of Musculoskeletal System and Connective Tissue with Cc in Pennsylvania
MS-DRG 478: Biopsies of musculoskeletal system and connective tissue with cc
$87,929typical hospital bill
$20,586typical amount paid
$20,023–$21,327range paid across 3 hospitals
Pennsylvania hospitals billed Medicare a typical $87,929 for this stay in 2024, about 4.3 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 | |
|---|---|---|---|---|---|
| Upmc Pinnacle Hospitals | Harrisburg | 12 | $87,929 | $20,023 | |
| Lehigh Valley Hospital | Allentown | 16 | $149,836 | $20,586 | |
| Wellspan York Hospital | York | 14 | $73,040 | $21,327 |
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.