Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc in Pennsylvania
MS-DRG 988: Non-extensive o.r. procedures unrelated to principal diagnosis with cc
$106,195typical hospital bill
$18,809typical amount paid
$15,142–$20,499range paid across 3 hospitals
Pennsylvania hospitals billed Medicare a typical $106,195 for this stay in 2024, about 5.6 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 | |
|---|---|---|---|---|---|
| Lehigh Valley Hospital | Allentown | 13 | $106,195 | $15,142 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 11 | $226,675 | $18,809 | |
| Reading Hospital | West Reading | 13 | $56,524 | $20,499 |
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.