Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc in Pennsylvania
MS-DRG 521: Hip replacement with principal diagnosis of hip fracture with mcc
$148,961typical hospital bill
$22,710typical amount paid
$19,561–$32,660range paid across 13 hospitals
Pennsylvania hospitals billed Medicare a typical $148,961 for this stay in 2024, about 6.6 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 | |
|---|---|---|---|---|---|
| Wellspan Chambersburg Hospital | Chambersburg | 19 | $79,196 | $19,561 | |
| Paoli Hospital | Paoli | 16 | $148,961 | $20,552 | |
| Upmc Williamsport | Williamsport | 11 | $92,579 | $20,697 | |
| Lancaster General Hospital | Lancaster | 22 | $77,486 | $21,621 | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 17 | $224,617 | $21,646 | |
| Wellspan York Hospital | York | 14 | $154,688 | $22,644 | |
| St Mary Medical Center | Langhorne | 13 | $103,380 | $22,710 | |
| Jefferson Abington Hospital | Abington | 15 | $84,948 | $24,817 | |
| Reading Hospital | West Reading | 15 | $110,266 | $24,953 | |
| Lehigh Valley Hospital | Allentown | 26 | $182,094 | $25,019 | |
| Upmc Hamot | Erie | 11 | $172,455 | $26,660 | |
| Penn Presbyterian Medical Center | Philadelphia | 12 | $281,728 | $30,587 | |
| Geisinger Medical Center | Danville | 12 | $382,587 | $32,660 |
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.