Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit in Pennsylvania
MS-DRG 216: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
$721,372typical hospital bill
$102,160typical amount paid
$92,839–$141,317range paid across 5 hospitals
Pennsylvania hospitals billed Medicare a typical $721,372 for this stay in 2024, about 7.1 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 Presbyterian Shadyside | Pittsburgh | 13 | $1,028,155 | $92,839 | |
| Penn Presbyterian Medical Center | Philadelphia | 16 | $721,372 | $101,557 | |
| Wellspan York Hospital | York | 13 | $517,882 | $102,160 | |
| Lehigh Valley Hospital | Allentown | 18 | $701,149 | $102,555 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 28 | $1,010,581 | $141,317 |
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.