US Health Care Costs

Cardiac Defibrillator Implant Without Mcc in Pennsylvania

MS-DRG 277: Cardiac defibrillator implant without mcc

$432,351typical hospital bill
$55,599typical amount paid
$46,454–$64,744range paid across 2 hospitals

Pennsylvania hospitals billed Medicare a typical $432,351 for this stay in 2024, about 7.8 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)

HospitalCityMedicare staysBilledPaid
St Lukes HospitalBethlehem17$353,055$46,454
Hospital of Univ of PennsylvaniaPhiladelphia29$511,647$64,744

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.