Heart catheterization in Pennsylvania
MS-DRG 287: Circulatory disorders except ami, with cardiac catheterization without mcc
$52,190typical hospital bill
$9,241typical amount paid
$7,506–$19,809range paid across 55 hospitals
Pennsylvania hospitals billed Medicare a typical $52,190 for this stay in 2024, about 5.6 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.