Hip or thigh bone surgery (not replacement), with complications in Pennsylvania
MS-DRG 481: Hip and femur procedures except major joint with cc
$85,651typical hospital bill
$16,400typical amount paid
$13,703–$26,293range paid across 70 hospitals
Pennsylvania hospitals billed Medicare a typical $85,651 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 | |
|---|---|---|---|---|---|
| Upmc Carlisle | Carlisle | 16 | $59,820 | $13,703 | |
| Jefferson Lansdale Hospital | Lansdale | 14 | $45,751 | $13,713 | |
| Jefferson Hospital | Jefferson Hills | 14 | $74,404 | $13,722 | |
| St Clair Hospital | Pittsburgh | 20 | $46,639 | $13,799 | |
| St Luke's Hospital - Grand View Campus | Sellersville | 60 | $61,274 | $14,020 | |
| Upmc Passavant | Pittsburgh | 20 | $90,755 | $14,051 | |
| Penn Highlands Mon Valley | Monongahela | 14 | $55,527 | $14,111 | |
| Upmc Jameson | New Castle | 11 | $40,458 | $14,171 | |
| Pottstown Hospital | Pottstown | 20 | $107,781 | $14,175 | |
| Wilkes-Barre General Hospital | Wilkes-Barre | 32 | $108,543 | $14,331 | |
| Lehigh Valley Hospital - Hazleton | Hazleton | 14 | $115,002 | $14,335 | |
| Paoli Hospital | Paoli | 81 | $89,598 | $14,376 | |
| Riddle Memorial Hospital | Media | 45 | $83,419 | $14,432 | |
| Conemaugh Nason Medical Center | Roaring Spring | 13 | $40,495 | $14,462 | |
| Doylestown Hospital | Doylestown | 55 | $61,920 | $14,559 | |
| Penn State Health Holy Spirit Medical Center | Camp Hill | 37 | $98,410 | $14,889 | |
| Heritage Valley Beaver | Beaver | 11 | $27,726 | $14,902 | |
| Chester County Hospital | West Chester | 42 | $74,635 | $15,079 | |
| Penn Highlands Dubois | Dubois | 41 | $42,458 | $15,129 | |
| Lehigh Valley Hospital - Dickson City | Dickson City | 26 | $121,425 | $15,190 | |
| Upmc Altoona | Altoona | 40 | $63,840 | $15,347 | |
| St Luke's Hospital - Monroe Campus | Stroudsburg | 18 | $178,378 | $15,462 | |
| Upmc Williamsport | Williamsport | 46 | $86,472 | $15,609 | |
| Wellspan Ephrata Community Hospital | Ephrata | 20 | $96,681 | $15,742 | |
| Gettysburg Hospital | Gettysburg | 14 | $75,966 | $15,750 | |
| Meadville Medical Center | Meadville | 15 | $38,829 | $15,789 | |
| Upmc Memorial | York | 23 | $64,234 | $15,857 | |
| Wellspan Chambersburg Hospital | Chambersburg | 35 | $58,268 | $15,922 | |
| Geisinger-Community Medical Center | Scranton | 74 | $171,494 | $15,970 | |
| Phoenixville Hospital | Phoenixville | 23 | $81,559 | $16,137 | |
| Lancaster General Hospital | Lancaster | 109 | $67,584 | $16,164 | |
| Wellspan Good Samaritan Hospital | Lebanon | 11 | $60,132 | $16,169 | |
| Geisinger-Lewistown Hospital | Lewistown | 13 | $74,016 | $16,240 | |
| St Mary Medical Center | Langhorne | 58 | $72,797 | $16,309 | |
| Holy Redeemer Hospital and Medical Center | Meadowbrook | 17 | $52,072 | $16,364 | |
| Penn State Health St. Joseph | Reading | 12 | $76,758 | $16,435 | |
| Upmc St Margaret | Pittsburgh | 17 | $104,349 | $16,675 | |
| Bryn Mawr Hospital | Bryn Mawr | 31 | $86,679 | $16,753 | |
| Jefferson Abington Hospital | Abington | 103 | $76,090 | $16,776 | |
| Upmc Hanover | Hanover | 26 | $55,061 | $16,809 | |
| Excela Health Westmoreland Regional Hospital | Greensburg | 11 | $39,557 | $16,810 | |
| Forbes Hospital | Monroeville | 23 | $98,925 | $16,902 | |
| Wellspan York Hospital | York | 86 | $118,237 | $17,028 | |
| Lehigh Valley Hospital - Pocono | East Stroudsburg | 17 | $142,467 | $17,049 | |
| Upmc Pinnacle Hospitals | Harrisburg | 41 | $64,704 | $17,366 | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 72 | $192,645 | $17,613 | |
| Jefferson Health- Northeast | Philadelphia | 46 | $74,757 | $17,668 | |
| Saint Vincent Hospital | Erie | 22 | $102,741 | $17,794 | |
| Reading Hospital | West Reading | 68 | $76,390 | $17,886 | |
| Main Line Hospital Lankenau | Wynnewood | 51 | $100,946 | $18,193 | |
| Upmc Hamot | Erie | 48 | $114,198 | $18,303 | |
| St Luke's Hospital - Upper Bucks Campus | Quakertown | 11 | $166,007 | $18,372 | |
| Mount Nittany Medical Center | State College | 31 | $74,787 | $18,652 | |
| Lehigh Valley Hospital | Allentown | 132 | $148,049 | $18,843 | |
| Crozer Chester Medical Center | Upland | 21 | $125,113 | $19,001 | |
| St Lukes Hospital | Bethlehem | 62 | $161,499 | $19,124 | |
| Temple Health - Chestnut Hill Hospital | Philadelphia | 13 | $203,310 | $19,166 | |
| Robert Packer Hospital | Sayre | 33 | $77,334 | $19,363 | |
| Upmc Mercy | Pittsburgh | 37 | $126,673 | $19,518 | |
| Conemaugh Memorial Medical Center | Johnstown | 27 | $84,829 | $19,534 | |
| Jefferson Einstein Montgomery Hospital | East Norriton | 16 | $64,887 | $19,826 | |
| Milton S Hershey Medical Center | Hershey | 62 | $109,826 | $20,936 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 44 | $218,577 | $20,986 | |
| Penn Presbyterian Medical Center | Philadelphia | 49 | $149,069 | $21,431 | |
| Temple University Hospital | Philadelphia | 15 | $234,600 | $22,111 | |
| Allegheny General Hospital | Pittsburgh | 51 | $91,710 | $22,206 | |
| Geisinger Medical Center | Danville | 69 | $222,157 | $22,256 | |
| St Luke's Hospital - Anderson Campus | Easton | 50 | $176,010 | $22,474 | |
| Thomas Jefferson University Hospital | Philadelphia | 61 | $113,682 | $24,318 | |
| Jefferson Einstein Philadelphia Hospital | Philadelphia | 16 | $103,620 | $26,293 |
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.