Malignancy of Hepatobiliary System or Pancreas with Cc in Pennsylvania
MS-DRG 436: Malignancy of hepatobiliary system or pancreas with cc
$64,944typical hospital bill
$10,402typical amount paid
$9,647–$11,739range paid across 4 hospitals
Pennsylvania hospitals billed Medicare a typical $64,944 for this stay in 2024, about 6.2 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 | |
|---|---|---|---|---|---|
| Jefferson Abington Hospital | Abington | 12 | $49,317 | $9,647 | |
| Reading Hospital | West Reading | 13 | $56,505 | $9,921 | |
| Lehigh Valley Hospital | Allentown | 14 | $73,382 | $10,884 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 11 | $85,797 | $11,739 |
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.