Heart catheterization, with major complications in Pennsylvania
MS-DRG 286: Circulatory disorders except ami, with cardiac catheterization with mcc
$95,301typical hospital bill
$18,442typical amount paid
$14,253–$40,427range paid across 62 hospitals
Pennsylvania hospitals billed Medicare a typical $95,301 for this stay in 2024, about 5.2 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 | |
|---|---|---|---|---|---|
| St Clair Hospital | Pittsburgh | 12 | $43,740 | $14,253 | |
| Jefferson Hospital | Jefferson Hills | 11 | $61,081 | $14,346 | |
| Wellspan Ephrata Community Hospital | Ephrata | 16 | $91,807 | $14,484 | |
| Independence Health System Butler Memorial Hospita | Butler | 14 | $55,630 | $15,097 | |
| Sharon Regional Medical Center | Sharon | 13 | $58,768 | $15,276 | |
| Chester County Hospital | West Chester | 35 | $81,386 | $15,480 | |
| Paoli Hospital | Paoli | 69 | $113,374 | $15,525 | |
| Upmc Jameson | New Castle | 14 | $39,456 | $15,534 | |
| Upmc Passavant | Pittsburgh | 21 | $121,617 | $15,573 | |
| Upmc East | Monroeville | 11 | $124,059 | $15,629 | |
| Upmc Memorial | York | 21 | $74,922 | $15,653 | |
| Penn Highlands Dubois | Dubois | 24 | $37,980 | $15,775 | |
| Wilkes-Barre General Hospital | Wilkes-Barre | 19 | $102,898 | $15,862 | |
| Doylestown Hospital | Doylestown | 49 | $64,742 | $15,955 | |
| Upmc Williamsport | Williamsport | 12 | $68,623 | $15,980 | |
| Riddle Memorial Hospital | Media | 47 | $135,902 | $16,113 | |
| Ahn Wexford Hospital | Wexford | 13 | $49,017 | $16,201 | |
| Penn State Health Holy Spirit Medical Center | Camp Hill | 11 | $67,448 | $16,474 | |
| Forbes Hospital | Monroeville | 30 | $73,834 | $16,553 | |
| Holy Redeemer Hospital and Medical Center | Meadowbrook | 15 | $47,068 | $16,565 | |
| Heritage Valley Beaver | Beaver | 17 | $26,890 | $16,893 | |
| Lancaster General Hospital | Lancaster | 70 | $81,851 | $17,173 | |
| Upmc Altoona | Altoona | 24 | $68,930 | $17,349 | |
| Wellspan Good Samaritan Hospital | Lebanon | 12 | $70,170 | $17,436 | |
| Regional Hospital of Scranton | Scranton | 32 | $96,201 | $17,469 | |
| Geisinger-Community Medical Center | Scranton | 43 | $148,971 | $17,491 | |
| Bryn Mawr Hospital | Bryn Mawr | 50 | $124,911 | $17,602 | |
| St Luke's Hospital - Monroe Campus | Stroudsburg | 23 | $169,789 | $17,614 | |
| Penn State Health St. Joseph | Reading | 19 | $94,400 | $17,799 | |
| Phoenixville Hospital | Phoenixville | 14 | $131,184 | $17,868 | |
| St Mary Medical Center | Langhorne | 31 | $59,412 | $18,015 | |
| Upmc Pinnacle Hospitals | Harrisburg | 68 | $77,856 | $18,870 | |
| Robert Packer Hospital | Sayre | 16 | $56,869 | $18,919 | |
| Jefferson Abington Hospital | Abington | 85 | $98,965 | $19,066 | |
| Reading Hospital | West Reading | 85 | $99,494 | $19,207 | |
| Wellspan Chambersburg Hospital | Chambersburg | 14 | $62,024 | $19,250 | |
| Upmc Hamot | Erie | 37 | $133,910 | $19,286 | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 29 | $131,340 | $19,322 | |
| Upmc Hanover | Hanover | 27 | $80,559 | $19,499 | |
| Jefferson Health- Northeast | Philadelphia | 66 | $76,424 | $19,539 | |
| Lower Bucks Hospital | Bristol | 19 | $86,348 | $19,864 | |
| Gettysburg Hospital | Gettysburg | 12 | $59,312 | $19,912 | |
| Conemaugh Memorial Medical Center | Johnstown | 13 | $44,910 | $20,527 | |
| Lehigh Valley Hospital | Allentown | 116 | $169,287 | $20,607 | |
| Crozer Chester Medical Center | Upland | 13 | $172,420 | $20,805 | |
| Saint Vincent Hospital | Erie | 34 | $116,456 | $20,915 | |
| Main Line Hospital Lankenau | Wynnewood | 76 | $167,794 | $21,843 | |
| Pennsylvania Hospital | Philadelphia | 35 | $161,251 | $21,983 | |
| Jefferson Einstein Montgomery Hospital | East Norriton | 20 | $81,484 | $22,098 | |
| Geisinger Medical Center | Danville | 44 | $155,436 | $22,462 | |
| St Luke's Hospital - Anderson Campus | Easton | 12 | $173,360 | $22,868 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 37 | $300,488 | $24,571 | |
| Wellspan York Hospital | York | 55 | $103,431 | $24,663 | |
| Mercy Catholic Medical Center- Mercy Fitzgerald | Darby | 15 | $73,631 | $24,835 | |
| Allegheny General Hospital | Pittsburgh | 57 | $106,937 | $25,219 | |
| St Lukes Hospital | Bethlehem | 49 | $203,781 | $25,899 | |
| Penn Presbyterian Medical Center | Philadelphia | 93 | $190,278 | $25,993 | |
| Milton S Hershey Medical Center | Hershey | 27 | $145,611 | $27,184 | |
| Jefferson Einstein Philadelphia Hospital | Philadelphia | 28 | $105,066 | $27,989 | |
| Temple University Hospital | Philadelphia | 53 | $304,998 | $30,701 | |
| Thomas Jefferson University Hospital | Philadelphia | 84 | $152,213 | $30,747 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 142 | $363,380 | $40,427 |
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.