US Health Care Costs

Dysequilibrium in Pennsylvania

MS-DRG 149: Dysequilibrium

$37,497typical hospital bill
$6,343typical amount paid
$5,180–$8,201range paid across 26 hospitals

Pennsylvania hospitals billed Medicare a typical $37,497 for this stay in 2024, about 5.9 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)

HospitalCityMedicare staysBilledPaid
Wellspan Evangelical Community HospitalLewisburg11$45,070$5,180
Riddle Memorial HospitalMedia11$50,295$5,361
Pottstown HospitalPottstown17$54,881$5,462
Wilkes-Barre General HospitalWilkes-Barre12$39,727$5,594
Penn State Health Lancaster Medical CenterLancaster12$24,382$5,616
Chester County HospitalWest Chester36$36,588$5,619
Paoli HospitalPaoli21$48,582$5,648
Holy Redeemer Hospital and Medical CenterMeadowbrook14$21,979$5,665
St Mary Medical CenterLanghorne20$27,631$5,708
Bryn Mawr HospitalBryn Mawr16$47,976$5,850
Penn State Health Holy Spirit Medical CenterCamp Hill12$22,939$6,083
Lancaster General HospitalLancaster18$24,766$6,108
Phoenixville HospitalPhoenixville18$50,819$6,246
Doylestown HospitalDoylestown12$18,163$6,440
Jefferson Abington HospitalAbington47$28,655$6,446
Upmc Pinnacle HospitalsHarrisburg27$32,191$6,483
Wellspan Chambersburg HospitalChambersburg14$21,147$6,575
Wellspan York HospitalYork11$32,877$6,708
Reading HospitalWest Reading44$38,406$6,765
Lehigh Valley HospitalAllentown64$48,058$6,940
Jefferson Health- NortheastPhiladelphia16$31,267$7,041
Main Line Hospital LankenauWynnewood11$61,024$7,050
Conemaugh Memorial Medical CenterJohnstown11$22,039$7,094
St Lukes HospitalBethlehem16$65,180$7,524
St Luke's Hospital - Monroe CampusStroudsburg19$73,241$7,664
St Luke's Hospital - Anderson CampusEaston11$56,866$8,201

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.