Other Digestive System Diagnoses Without Cc/Mcc in Pennsylvania
MS-DRG 395: Other digestive system diagnoses without cc/mcc
$31,807typical hospital bill
$6,520typical amount paid
$6,104–$8,111range paid across 3 hospitals
Pennsylvania hospitals billed Medicare a typical $31,807 for this stay in 2024, about 4.9 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 | 11 | $30,217 | $6,104 | |
| Upmc Pinnacle Hospitals | Harrisburg | 12 | $31,807 | $6,520 | |
| Geisinger Medical Center | Danville | 11 | $50,381 | $8,111 |
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.