Fracture or sprain (not hip or thigh) in Pennsylvania
MS-DRG 563: Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
$35,400typical hospital bill
$7,712typical amount paid
$5,881–$10,555range paid across 45 hospitals
Pennsylvania hospitals billed Medicare a typical $35,400 for this stay in 2024, about 4.6 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)
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.