Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Pennsylvania

MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization

$248,864typical hospital bill

$49,814typical amount paid

$37,518–$62,968range paid across 14 hospitals

Pennsylvania hospitals billed Medicare a typical $248,864 for this stay in 2024, about 5.0 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
Doylestown Hospital	Doylestown	22	$107,348	$37,518
Lancaster General Hospital	Lancaster	15	$195,964	$39,736
Upmc Pinnacle Hospitals	Harrisburg	37	$166,317	$43,132
Upmc Hamot	Erie	12	$452,479	$45,328
Geisinger-Community Medical Center	Scranton	18	$322,376	$46,355
Main Line Hospital Lankenau	Wynnewood	55	$249,180	$47,408
Reading Hospital	West Reading	11	$226,850	$48,829
Allegheny General Hospital	Pittsburgh	31	$213,844	$50,799
Penn Presbyterian Medical Center	Philadelphia	29	$364,016	$54,960
Milton S Hershey Medical Center	Hershey	18	$248,548	$59,131
Wellspan York Hospital	York	22	$314,444	$59,947
Geisinger Medical Center	Danville	31	$409,500	$60,240
Hospital of Univ of Pennsylvania	Philadelphia	128	$437,408	$62,480
Thomas Jefferson University Hospital	Philadelphia	36	$232,743	$62,968

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.