Diabetes, with major complications in Pennsylvania
MS-DRG 637: Diabetes with mcc
$56,704typical hospital bill
$12,599typical amount paid
$8,798–$18,896range paid across 40 hospitals
Pennsylvania hospitals billed Medicare a typical $56,704 for this stay in 2024, about 4.5 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 | |
|---|---|---|---|---|---|
| Paoli Hospital | Paoli | 14 | $65,299 | $8,798 | |
| St Clair Hospital | Pittsburgh | 13 | $26,735 | $9,082 | |
| Jefferson Lansdale Hospital | Lansdale | 12 | $37,887 | $9,494 | |
| St Luke's Hospital - Grand View Campus | Sellersville | 11 | $52,530 | $9,510 | |
| Geisinger St. Luke's Hospital | Orwigsburg | 11 | $56,553 | $10,146 | |
| Doylestown Hospital | Doylestown | 13 | $29,563 | $10,157 | |
| Regional Hospital of Scranton | Scranton | 11 | $64,680 | $10,272 | |
| Chester County Hospital | West Chester | 15 | $50,077 | $10,503 | |
| Gettysburg Hospital | Gettysburg | 11 | $44,994 | $10,963 | |
| Wellspan Chambersburg Hospital | Chambersburg | 14 | $41,433 | $11,257 | |
| Upmc Altoona | Altoona | 13 | $44,786 | $11,445 | |
| St Mary Medical Center | Langhorne | 20 | $48,396 | $11,525 | |
| Schuylkill Medical Center - South Jackson Street | Pottsville | 11 | $57,841 | $11,653 | |
| Bryn Mawr Hospital | Bryn Mawr | 19 | $79,055 | $11,671 | |
| Lancaster General Hospital | Lancaster | 24 | $51,232 | $11,680 | |
| Jefferson Abington Hospital | Abington | 34 | $44,398 | $11,827 | |
| Geisinger-Community Medical Center | Scranton | 16 | $134,349 | $11,903 | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 20 | $76,053 | $12,232 | |
| Reading Hospital | West Reading | 44 | $56,855 | $12,573 | |
| Allegheny General Hospital | Pittsburgh | 11 | $119,134 | $12,586 | |
| Wellspan Good Samaritan Hospital | Lebanon | 13 | $34,923 | $12,613 | |
| Upmc St Margaret | Pittsburgh | 11 | $91,192 | $12,655 | |
| Wellspan York Hospital | York | 29 | $49,326 | $12,809 | |
| Lehigh Valley Hospital | Allentown | 64 | $86,278 | $12,827 | |
| Jefferson Health- Northeast | Philadelphia | 36 | $37,860 | $12,931 | |
| Mount Nittany Medical Center | State College | 13 | $37,342 | $13,032 | |
| Temple Health - Chestnut Hill Hospital | Philadelphia | 20 | $122,678 | $13,637 | |
| Main Line Hospital Lankenau | Wynnewood | 13 | $94,881 | $13,702 | |
| Upmc Pinnacle Hospitals | Harrisburg | 27 | $56,042 | $13,805 | |
| Crozer Chester Medical Center | Upland | 18 | $119,896 | $14,293 | |
| St Lukes Hospital | Bethlehem | 29 | $85,696 | $14,459 | |
| Upmc Hanover | Hanover | 12 | $29,909 | $14,559 | |
| St Luke's Hospital - Anderson Campus | Easton | 21 | $112,798 | $16,096 | |
| Thomas Jefferson University Hospital | Philadelphia | 21 | $58,767 | $16,278 | |
| Milton S Hershey Medical Center | Hershey | 16 | $69,721 | $16,367 | |
| Geisinger Medical Center | Danville | 11 | $104,977 | $16,625 | |
| Nazareth Hospital | Philadelphia | 12 | $50,964 | $17,668 | |
| Jefferson Einstein Philadelphia Hospital | Philadelphia | 21 | $50,197 | $18,190 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 13 | $184,105 | $18,722 | |
| Temple University Hospital | Philadelphia | 31 | $151,946 | $18,896 |
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.