Other Digestive System O.r. Procedures with Mcc in Pennsylvania
MS-DRG 356: Other digestive system o.r. procedures with mcc
$348,006typical hospital bill
$42,656typical amount paid
$34,628–$57,626range paid across 7 hospitals
Pennsylvania hospitals billed Medicare a typical $348,006 for this stay in 2024, about 8.2 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 | 13 | $145,544 | $34,628 | |
| Robert Packer Hospital | Sayre | 11 | $157,571 | $34,685 | |
| Geisinger Medical Center | Danville | 12 | $348,006 | $41,956 | |
| Thomas Jefferson University Hospital | Philadelphia | 12 | $181,687 | $42,656 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 18 | $442,936 | $43,596 | |
| Lehigh Valley Hospital | Allentown | 20 | $356,169 | $43,957 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 15 | $358,562 | $57,626 |
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.