Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Pennsylvania
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$418,443typical hospital bill
$69,349typical amount paid
$48,367–$112,921range paid across 20 hospitals
Pennsylvania hospitals billed Medicare a typical $418,443 for this stay in 2024, about 6.0 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 | |
|---|---|---|---|---|---|
| Excela Health Westmoreland Regional Hospital | Greensburg | 12 | $142,562 | $48,367 | |
| Chester County Hospital | West Chester | 11 | $208,133 | $53,034 | |
| Doylestown Hospital | Doylestown | 25 | $149,006 | $57,287 | |
| Jefferson Abington Hospital | Abington | 20 | $208,693 | $60,593 | |
| Jefferson Einstein Montgomery Hospital | East Norriton | 20 | $240,161 | $61,331 | |
| Lancaster General Hospital | Lancaster | 37 | $210,894 | $64,859 | |
| Upmc Pinnacle Hospitals | Harrisburg | 29 | $232,737 | $65,412 | |
| St Lukes Hospital | Bethlehem | 32 | $511,761 | $66,258 | |
| Main Line Hospital Lankenau | Wynnewood | 50 | $296,342 | $66,670 | |
| Lehigh Valley Hospital | Allentown | 113 | $474,354 | $68,427 | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 17 | $470,945 | $70,271 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 60 | $842,515 | $71,439 | |
| Allegheny General Hospital | Pittsburgh | 32 | $280,099 | $78,276 | |
| Penn Presbyterian Medical Center | Philadelphia | 87 | $523,823 | $83,244 | |
| Wellspan York Hospital | York | 17 | $439,727 | $91,826 | |
| Milton S Hershey Medical Center | Hershey | 29 | $397,158 | $98,008 | |
| Thomas Jefferson University Hospital | Philadelphia | 25 | $505,431 | $107,180 | |
| Geisinger Medical Center | Danville | 12 | $470,238 | $109,773 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 95 | $751,390 | $110,251 | |
| Temple University Hospital | Philadelphia | 19 | $1,211,132 | $112,921 |
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.