Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Pennsylvania
MS-DRG 221: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$254,304typical hospital bill
$45,921typical amount paid
$36,936–$54,905range paid across 2 hospitals
Pennsylvania hospitals billed Medicare a typical $254,304 for this stay in 2024, about 5.5 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 Pinnacle Hospitals | Harrisburg | 19 | $150,046 | $36,936 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 30 | $358,563 | $54,905 |
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.