Hip replacement after a hip fracture in Pennsylvania
MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc
$88,981typical hospital bill
$17,464typical amount paid
$13,874–$26,696range paid across 54 hospitals
Pennsylvania hospitals billed Medicare a typical $88,981 for this stay in 2024, about 5.1 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 | 19 | $59,728 | $13,874 | |
| Jefferson Hospital | Jefferson Hills | 16 | $72,125 | $14,064 | |
| Upmc Memorial | York | 12 | $67,432 | $14,518 | |
| Lehigh Valley Hospital - Dickson City | Dickson City | 20 | $129,043 | $14,541 | |
| Penn State Health Holy Spirit Medical Center | Camp Hill | 18 | $103,070 | $14,551 | |
| Independence Health System Butler Memorial Hospita | Butler | 11 | $52,295 | $14,719 | |
| Paoli Hospital | Paoli | 42 | $89,201 | $14,771 | |
| Pottstown Hospital | Pottstown | 11 | $112,008 | $14,813 | |
| Indiana Regional Medical Center | Indiana | 12 | $44,623 | $14,972 | |
| Riddle Memorial Hospital | Media | 29 | $83,939 | $14,982 | |
| Doylestown Hospital | Doylestown | 38 | $68,437 | $15,012 | |
| Penn Highlands Dubois | Dubois | 16 | $42,767 | $15,229 | |
| Upmc Williamsport | Williamsport | 20 | $87,820 | $15,362 | |
| St Luke's Hospital - Grand View Campus | Sellersville | 26 | $57,864 | $15,412 | |
| Chester County Hospital | West Chester | 45 | $70,103 | $15,413 | |
| Wilkes-Barre General Hospital | Wilkes-Barre | 18 | $131,111 | $15,498 | |
| St Luke's Hospital - Monroe Campus | Stroudsburg | 11 | $163,552 | $15,596 | |
| Upmc Passavant | Pittsburgh | 15 | $88,760 | $15,735 | |
| Meadville Medical Center | Meadville | 13 | $51,010 | $15,941 | |
| St Mary Medical Center | Langhorne | 35 | $84,085 | $16,152 | |
| Lehigh Valley Hospital - Pocono | East Stroudsburg | 12 | $119,738 | $16,210 | |
| Geisinger-Lewistown Hospital | Lewistown | 16 | $72,519 | $16,392 | |
| Bryn Mawr Hospital | Bryn Mawr | 30 | $91,398 | $16,443 | |
| Phoenixville Hospital | Phoenixville | 15 | $109,710 | $16,605 | |
| Uniontown Hospital | Uniontown | 14 | $49,205 | $16,945 | |
| Wellspan Chambersburg Hospital | Chambersburg | 32 | $63,410 | $17,260 | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 25 | $170,718 | $17,416 | |
| Wellspan York Hospital | York | 29 | $124,892 | $17,512 | |
| Upmc Pinnacle Hospitals | Harrisburg | 48 | $67,233 | $17,538 | |
| Geisinger-Community Medical Center | Scranton | 33 | $192,436 | $17,554 | |
| Lancaster General Hospital | Lancaster | 47 | $66,180 | $17,643 | |
| Jefferson Health- Northeast | Philadelphia | 26 | $75,901 | $17,917 | |
| Reading Hospital | West Reading | 43 | $81,476 | $17,958 | |
| St Luke's Hospital - Upper Bucks Campus | Quakertown | 14 | $163,949 | $18,000 | |
| Jefferson Abington Hospital | Abington | 51 | $74,752 | $18,216 | |
| Main Line Hospital Lankenau | Wynnewood | 31 | $88,148 | $18,688 | |
| Upmc Hamot | Erie | 29 | $119,049 | $18,724 | |
| Mount Nittany Medical Center | State College | 14 | $76,437 | $18,789 | |
| Robert Packer Hospital | Sayre | 23 | $71,365 | $18,929 | |
| Upmc Hanover | Hanover | 16 | $48,544 | $19,317 | |
| Crozer Chester Medical Center | Upland | 12 | $120,735 | $19,472 | |
| Conemaugh Memorial Medical Center | Johnstown | 12 | $103,337 | $19,721 | |
| Temple Health - Chestnut Hill Hospital | Philadelphia | 19 | $215,951 | $19,759 | |
| Upmc Mercy | Pittsburgh | 16 | $140,665 | $20,408 | |
| Allegheny General Hospital | Pittsburgh | 16 | $91,518 | $20,570 | |
| St Lukes Hospital | Bethlehem | 27 | $176,855 | $20,675 | |
| Lehigh Valley Hospital | Allentown | 72 | $139,469 | $20,680 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 13 | $183,687 | $20,680 | |
| Milton S Hershey Medical Center | Hershey | 25 | $81,888 | $20,883 | |
| Penn Presbyterian Medical Center | Philadelphia | 18 | $136,549 | $21,484 | |
| Geisinger Medical Center | Danville | 23 | $226,457 | $21,558 | |
| St Luke's Hospital - Anderson Campus | Easton | 31 | $136,879 | $21,662 | |
| Thomas Jefferson University Hospital | Philadelphia | 31 | $108,266 | $23,012 | |
| Gettysburg Hospital | Gettysburg | 11 | $95,547 | $26,696 |
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.