Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc in Pennsylvania
MS-DRG 562: Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
$48,265typical hospital bill
$12,696typical amount paid
$12,619–$13,079range paid across 4 hospitals
Pennsylvania hospitals billed Medicare a typical $48,265 for this stay in 2024, about 3.8 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 | |
|---|---|---|---|---|---|
| Jefferson Abington Hospital | Abington | 13 | $52,367 | $12,619 | |
| Lancaster General Hospital | Lancaster | 16 | $38,525 | $12,661 | |
| Jefferson Health- Northeast | Philadelphia | 12 | $46,700 | $12,731 | |
| Reading Hospital | West Reading | 14 | $49,829 | $13,079 |
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.