Major Chest Procedures Without Cc/Mcc in Pennsylvania
MS-DRG 165: Major chest procedures without cc/mcc
$96,558typical hospital bill
$17,915typical amount paid
$13,772–$22,550range paid across 12 hospitals
Pennsylvania hospitals billed Medicare a typical $96,558 for this stay in 2024, about 5.4 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 Passavant | Pittsburgh | 18 | $159,825 | $13,772 | |
| Allegheny General Hospital | Pittsburgh | 12 | $82,458 | $15,969 | |
| Lehigh Valley Hospital | Allentown | 16 | $241,368 | $16,263 | |
| Main Line Hospital Lankenau | Wynnewood | 16 | $88,797 | $16,953 | |
| St Lukes Hospital | Bethlehem | 19 | $137,506 | $17,278 | |
| Upmc Pinnacle Hospitals | Harrisburg | 12 | $104,318 | $17,788 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 13 | $203,912 | $18,043 | |
| Lancaster General Hospital | Lancaster | 12 | $46,973 | $18,453 | |
| Milton S Hershey Medical Center | Hershey | 11 | $68,038 | $18,899 | |
| Thomas Jefferson University Hospital | Philadelphia | 21 | $87,636 | $22,169 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 104 | $127,737 | $22,432 | |
| Wellspan York Hospital | York | 16 | $73,032 | $22,550 |
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.