Infection needing surgery, with major complications in Pennsylvania
MS-DRG 853: Infectious and parasitic diseases with o.r. procedures with mcc
$170,723typical hospital bill
$40,201typical amount paid
$28,000–$90,552range paid across 81 hospitals
Pennsylvania hospitals billed Medicare a typical $170,723 for this stay in 2024, about 4.2 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 | 12 | $87,234 | $28,000 | |
| St Luke's Hospital - Carbon Campus | Lehighton | 17 | $221,889 | $29,635 | |
| Independence Health System Butler Memorial Hospita | Butler | 17 | $82,089 | $29,894 | |
| Geisinger St. Luke's Hospital | Orwigsburg | 14 | $147,993 | $30,112 | |
| Jefferson Hospital | Jefferson Hills | 25 | $112,954 | $31,144 | |
| Penn State Health Holy Spirit Medical Center | Camp Hill | 20 | $185,925 | $31,198 | |
| Jefferson Lansdale Hospital | Lansdale | 39 | $78,017 | $31,349 | |
| The Washington Hospital | Washington | 17 | $43,618 | $31,509 | |
| Excela Health Westmoreland Regional Hospital | Greensburg | 20 | $91,816 | $31,935 | |
| St Clair Hospital | Pittsburgh | 33 | $116,146 | $32,285 | |
| Pottstown Hospital | Pottstown | 28 | $163,712 | $32,557 | |
| Excela Health Latrobe Hospital | Latrobe | 20 | $75,646 | $32,649 | |
| Doylestown Hospital | Doylestown | 56 | $115,360 | $32,677 | |
| Uniontown Hospital | Uniontown | 13 | $59,417 | $32,679 | |
| Chester County Hospital | West Chester | 35 | $138,941 | $33,385 | |
| Upmc East | Monroeville | 14 | $199,876 | $33,391 | |
| Upmc Memorial | York | 19 | $139,216 | $33,660 | |
| Holy Redeemer Hospital and Medical Center | Meadowbrook | 22 | $72,021 | $34,067 | |
| St Luke's Hospital - Monroe Campus | Stroudsburg | 26 | $261,892 | $34,828 | |
| Wellspan Chambersburg Hospital | Chambersburg | 73 | $100,184 | $34,953 | |
| Heritage Valley Beaver | Beaver | 14 | $66,114 | $35,070 | |
| Upmc Passavant | Pittsburgh | 25 | $195,789 | $35,437 | |
| Riddle Memorial Hospital | Media | 51 | $199,712 | $35,443 | |
| Wellspan Evangelical Community Hospital | Lewisburg | 16 | $112,377 | $35,656 | |
| Penn State Health St. Joseph | Reading | 15 | $169,020 | $35,963 | |
| Wilkes-Barre General Hospital | Wilkes-Barre | 25 | $218,117 | $36,026 | |
| Upmc Williamsport | Williamsport | 35 | $163,591 | $36,612 | |
| Gettysburg Hospital | Gettysburg | 16 | $127,417 | $37,184 | |
| Phoenixville Hospital | Phoenixville | 23 | $127,258 | $37,194 | |
| Wellspan Good Samaritan Hospital | Lebanon | 52 | $115,151 | $37,670 | |
| Regional Hospital of Scranton | Scranton | 21 | $251,814 | $38,369 | |
| Wellspan Ephrata Community Hospital | Ephrata | 27 | $165,294 | $38,374 | |
| Lehigh Valley Hospital - Pocono | East Stroudsburg | 17 | $272,943 | $38,592 | |
| Penn Highlands Dubois | Dubois | 42 | $108,018 | $38,647 | |
| Paoli Hospital | Paoli | 38 | $267,348 | $38,966 | |
| St Luke's Hospital - Grand View Campus | Sellersville | 19 | $126,112 | $39,181 | |
| Upmc Altoona | Altoona | 34 | $157,733 | $39,464 | |
| Geisinger-Community Medical Center | Scranton | 104 | $295,336 | $39,659 | |
| Lehigh Valley Hospital - Hazleton | Hazleton | 13 | $291,275 | $39,929 | |
| Bryn Mawr Hospital | Bryn Mawr | 42 | $241,931 | $40,102 | |
| Upmc Pinnacle Hospitals | Harrisburg | 75 | $164,009 | $40,201 | |
| St Mary Medical Center | Langhorne | 74 | $113,360 | $40,725 | |
| Geisinger-Lewistown Hospital | Lewistown | 14 | $103,905 | $40,833 | |
| Upmc Hamot | Erie | 48 | $264,457 | $41,236 | |
| Jefferson Health- Northeast | Philadelphia | 94 | $145,970 | $41,345 | |
| St Luke's Hospital - Upper Bucks Campus | Quakertown | 17 | $311,728 | $41,393 | |
| Nazareth Hospital | Philadelphia | 29 | $135,619 | $42,098 | |
| Robert Packer Hospital | Sayre | 36 | $140,668 | $42,309 | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 88 | $344,263 | $42,476 | |
| Reading Hospital | West Reading | 101 | $160,205 | $42,525 | |
| Temple Health - Chestnut Hill Hospital | Philadelphia | 22 | $406,559 | $43,046 | |
| Jefferson Abington Hospital | Abington | 104 | $151,054 | $43,109 | |
| West Penn Hospital | Pittsburgh | 15 | $183,087 | $43,163 | |
| Lehigh Valley Hospital | Allentown | 176 | $277,743 | $43,737 | |
| Forbes Hospital | Monroeville | 19 | $198,719 | $44,302 | |
| Penn State Health Lancaster Medical Center | Lancaster | 15 | $152,028 | $44,656 | |
| Conemaugh Memorial Medical Center | Johnstown | 26 | $120,042 | $44,695 | |
| Mount Nittany Medical Center | State College | 27 | $132,024 | $44,870 | |
| Lancaster General Hospital | Lancaster | 53 | $170,723 | $45,428 | |
| Upmc St Margaret | Pittsburgh | 18 | $298,717 | $45,477 | |
| Main Line Hospital Lankenau | Wynnewood | 91 | $267,976 | $45,658 | |
| Upmc Hanover | Hanover | 17 | $110,427 | $46,383 | |
| Jefferson Einstein Montgomery Hospital | East Norriton | 31 | $187,112 | $46,983 | |
| Mercy Catholic Medical Center- Mercy Fitzgerald | Darby | 28 | $176,592 | $47,191 | |
| Saint Vincent Hospital | Erie | 35 | $243,511 | $47,313 | |
| Upmc Mercy | Pittsburgh | 17 | $330,915 | $47,609 | |
| Roxborough Memorial Hospital | Philadelphia | 14 | $260,729 | $48,068 | |
| St Lukes Hospital | Bethlehem | 121 | $395,964 | $48,289 | |
| St Luke's Hospital - Anderson Campus | Easton | 46 | $288,998 | $48,607 | |
| Jefferson Einstein Philadelphia Hospital | Philadelphia | 21 | $167,252 | $48,877 | |
| Penn Presbyterian Medical Center | Philadelphia | 28 | $373,463 | $49,220 | |
| Crozer Chester Medical Center | Upland | 34 | $361,041 | $49,701 | |
| Wellspan York Hospital | York | 145 | $189,582 | $50,292 | |
| Pennsylvania Hospital | Philadelphia | 23 | $387,108 | $54,434 | |
| Milton S Hershey Medical Center | Hershey | 58 | $246,177 | $55,722 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 70 | $681,523 | $56,716 | |
| Allegheny General Hospital | Pittsburgh | 46 | $276,312 | $58,307 | |
| Geisinger Medical Center | Danville | 111 | $412,204 | $63,280 | |
| Thomas Jefferson University Hospital | Philadelphia | 103 | $296,373 | $68,544 | |
| Temple University Hospital | Philadelphia | 25 | $627,491 | $69,928 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 68 | $639,886 | $90,552 |
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.