Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc in Pennsylvania
MS-DRG 981: Extensive o.r. procedures unrelated to principal diagnosis with mcc
$214,642typical hospital bill
$43,138typical amount paid
$28,372–$96,365range paid across 30 hospitals
Pennsylvania hospitals billed Medicare a typical $214,642 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 | 16 | $125,929 | $28,372 | |
| Paoli Hospital | Paoli | 17 | $208,749 | $29,481 | |
| Penn Highlands Dubois | Dubois | 11 | $101,511 | $31,559 | |
| Jefferson Health- Northeast | Philadelphia | 16 | $149,865 | $34,262 | |
| Lancaster General Hospital | Lancaster | 38 | $152,814 | $35,564 | |
| St Mary Medical Center | Langhorne | 18 | $132,373 | $36,949 | |
| Chester County Hospital | West Chester | 13 | $126,849 | $36,971 | |
| Upmc Pinnacle Hospitals | Harrisburg | 20 | $158,539 | $37,815 | |
| St Lukes Hospital | Bethlehem | 26 | $280,479 | $38,651 | |
| Jefferson Abington Hospital | Abington | 35 | $157,784 | $39,099 | |
| Forbes Hospital | Monroeville | 12 | $177,676 | $40,378 | |
| Upmc Hamot | Erie | 22 | $311,510 | $40,487 | |
| Jefferson Einstein Montgomery Hospital | East Norriton | 15 | $158,380 | $40,522 | |
| Reading Hospital | West Reading | 24 | $191,064 | $41,228 | |
| Main Line Hospital Lankenau | Wynnewood | 14 | $300,564 | $41,990 | |
| Robert Packer Hospital | Sayre | 13 | $128,125 | $44,286 | |
| Saint Vincent Hospital | Erie | 18 | $220,535 | $44,776 | |
| Lehigh Valley Hospital | Allentown | 49 | $340,748 | $45,420 | |
| Wellspan York Hospital | York | 20 | $169,611 | $45,962 | |
| St Luke's Hospital - Anderson Campus | Easton | 11 | $192,763 | $47,823 | |
| Pennsylvania Hospital | Philadelphia | 16 | $300,151 | $51,157 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 42 | $508,555 | $51,581 | |
| Geisinger Medical Center | Danville | 26 | $297,845 | $51,595 | |
| Penn Presbyterian Medical Center | Philadelphia | 13 | $447,019 | $55,827 | |
| Temple University Hospital | Philadelphia | 21 | $496,511 | $59,782 | |
| Allegheny General Hospital | Pittsburgh | 14 | $368,484 | $67,923 | |
| Thomas Jefferson University Hospital | Philadelphia | 35 | $347,464 | $74,524 | |
| Milton S Hershey Medical Center | Hershey | 21 | $281,550 | $77,247 | |
| Jefferson Einstein Philadelphia Hospital | Philadelphia | 18 | $324,786 | $83,478 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 33 | $737,253 | $96,365 |
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.