Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc in Pennsylvania
MS-DRG 494: Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
$72,032typical hospital bill
$18,190typical amount paid
$14,558–$21,525range paid across 6 hospitals
Pennsylvania hospitals billed Medicare a typical $72,032 for this stay in 2024, about 4.0 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 | |
|---|---|---|---|---|---|
| Paoli Hospital | Paoli | 13 | $74,637 | $14,558 | |
| Upmc Altoona | Altoona | 13 | $59,598 | $14,561 | |
| Upmc Pinnacle Hospitals | Harrisburg | 11 | $69,427 | $16,794 | |
| Penn Presbyterian Medical Center | Philadelphia | 11 | $148,071 | $19,586 | |
| Reading Hospital | West Reading | 18 | $52,086 | $19,828 | |
| Thomas Jefferson University Hospital | Philadelphia | 12 | $99,402 | $21,525 |
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.