Cardiac Congenital and Valvular Disorders with Mcc in Pennsylvania
MS-DRG 306: Cardiac congenital and valvular disorders with mcc
$98,135typical hospital bill
$17,014typical amount paid
$13,931–$23,576range paid across 4 hospitals
Pennsylvania hospitals billed Medicare a typical $98,135 for this stay in 2024, about 5.8 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 | |
|---|---|---|---|---|---|
| Lehigh Valley Hospital | Allentown | 12 | $98,974 | $13,931 | |
| Main Line Hospital Lankenau | Wynnewood | 21 | $97,295 | $15,852 | |
| St Lukes Hospital | Bethlehem | 15 | $86,754 | $18,176 | |
| Penn Presbyterian Medical Center | Philadelphia | 13 | $243,439 | $23,576 |
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.