Other Factors Influencing Health Status in Pennsylvania
MS-DRG 951: Other factors influencing health status
$21,823typical hospital bill
$5,178typical amount paid
$4,203–$5,490range paid across 3 hospitals
Pennsylvania hospitals billed Medicare a typical $21,823 for this stay in 2024, about 4.2 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 | |
|---|---|---|---|---|---|
| Upmc Carlisle | Carlisle | 16 | $15,039 | $4,203 | |
| Upmc Pinnacle Hospitals | Harrisburg | 29 | $21,823 | $5,178 | |
| Lehigh Valley Hospital | Allentown | 20 | $36,388 | $5,490 |
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.