Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc in Pennsylvania
MS-DRG 987: Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
$209,814typical hospital bill
$39,651typical amount paid
$27,494–$65,782range paid across 8 hospitals
Pennsylvania hospitals billed Medicare a typical $209,814 for this stay in 2024, about 5.3 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 | |
|---|---|---|---|---|---|
| Reading Hospital | West Reading | 13 | $103,288 | $27,494 | |
| Lehigh Valley Hospital | Allentown | 20 | $179,765 | $27,621 | |
| Lancaster General Hospital | Lancaster | 13 | $83,716 | $36,411 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 14 | $422,213 | $38,638 | |
| Allegheny General Hospital | Pittsburgh | 11 | $164,874 | $40,663 | |
| Temple University Hospital | Philadelphia | 11 | $404,935 | $46,539 | |
| Thomas Jefferson University Hospital | Philadelphia | 15 | $239,864 | $48,795 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 11 | $481,911 | $65,782 |
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.