Hip or thigh bone surgery (not replacement), with major complications in Pennsylvania
MS-DRG 480: Hip and femur procedures except major joint with mcc
$134,977typical hospital bill
$24,584typical amount paid
$18,364–$66,506range paid across 33 hospitals
Pennsylvania hospitals billed Medicare a typical $134,977 for this stay in 2024, about 5.5 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 | 12 | $83,010 | $18,364 | |
| Riddle Memorial Hospital | Media | 11 | $115,138 | $19,764 | |
| Doylestown Hospital | Doylestown | 11 | $73,067 | $19,766 | |
| Paoli Hospital | Paoli | 22 | $135,262 | $20,009 | |
| Forbes Hospital | Monroeville | 12 | $113,746 | $20,214 | |
| Chester County Hospital | West Chester | 14 | $86,330 | $20,644 | |
| St Luke's Hospital - Grand View Campus | Sellersville | 15 | $92,369 | $20,685 | |
| Penn Highlands Dubois | Dubois | 17 | $50,855 | $20,990 | |
| Wellspan Chambersburg Hospital | Chambersburg | 15 | $70,803 | $21,276 | |
| St Mary Medical Center | Langhorne | 20 | $93,971 | $21,431 | |
| Lancaster General Hospital | Lancaster | 29 | $79,749 | $21,767 | |
| Robert Packer Hospital | Sayre | 18 | $85,732 | $23,418 | |
| Main Line Hospital Lankenau | Wynnewood | 20 | $134,977 | $24,080 | |
| Wellspan York Hospital | York | 24 | $149,013 | $24,213 | |
| Lehigh Valley Hospital - Pocono | East Stroudsburg | 13 | $166,836 | $24,248 | |
| Reading Hospital | West Reading | 29 | $121,956 | $24,561 | |
| Jefferson Abington Hospital | Abington | 42 | $111,897 | $24,584 | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 23 | $298,110 | $24,725 | |
| Upmc Pinnacle Hospitals | Harrisburg | 22 | $94,682 | $25,190 | |
| Jefferson Health- Northeast | Philadelphia | 25 | $105,957 | $25,281 | |
| Geisinger-Community Medical Center | Scranton | 25 | $254,675 | $25,339 | |
| Upmc Hamot | Erie | 16 | $150,369 | $25,773 | |
| Crozer Chester Medical Center | Upland | 15 | $200,448 | $26,987 | |
| St Lukes Hospital | Bethlehem | 23 | $224,236 | $27,832 | |
| Lehigh Valley Hospital | Allentown | 47 | $226,387 | $28,138 | |
| Milton S Hershey Medical Center | Hershey | 26 | $132,840 | $29,514 | |
| Allegheny General Hospital | Pittsburgh | 16 | $163,560 | $30,882 | |
| Geisinger Medical Center | Danville | 34 | $281,229 | $31,009 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 23 | $370,230 | $32,371 | |
| Thomas Jefferson University Hospital | Philadelphia | 22 | $163,301 | $36,043 | |
| Temple University Hospital | Philadelphia | 12 | $314,817 | $37,005 | |
| Penn Presbyterian Medical Center | Philadelphia | 21 | $400,056 | $41,966 | |
| St Luke's Hospital - Anderson Campus | Easton | 12 | $342,980 | $66,506 |
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.