Heart Transplant or Implant of Heart Assist System with Mcc in Pennsylvania
MS-DRG 001: Heart transplant or implant of heart assist system with mcc
$1,933,810typical hospital bill
$357,635typical amount paid
$258,609–$422,190range paid across 4 hospitals
Pennsylvania hospitals billed Medicare a typical $1,933,810 for this stay in 2024, about 5.4 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 | |
|---|---|---|---|---|---|
| Lehigh Valley Hospital | Allentown | 14 | $1,714,698 | $258,609 | |
| Thomas Jefferson University Hospital | Philadelphia | 14 | $1,695,455 | $345,931 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 29 | $2,152,921 | $369,339 | |
| Milton S Hershey Medical Center | Hershey | 13 | $2,161,631 | $422,190 |
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.