Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc in Pennsylvania
MS-DRG 516: Other musculoskeletal system and connective tissue o.r. procedures with cc
$94,558typical hospital bill
$19,346typical amount paid
$14,512–$30,134range paid across 12 hospitals
Pennsylvania hospitals billed Medicare a typical $94,558 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 | |
|---|---|---|---|---|---|
| Riddle Memorial Hospital | Media | 12 | $64,616 | $14,512 | |
| Reading Hospital | West Reading | 32 | $73,371 | $17,635 | |
| Lehigh Valley Hospital | Allentown | 29 | $114,457 | $18,131 | |
| Upmc Pinnacle Hospitals | Harrisburg | 11 | $81,300 | $18,295 | |
| Main Line Hospital Lankenau | Wynnewood | 12 | $92,275 | $18,332 | |
| Lancaster General Hospital | Lancaster | 17 | $58,509 | $18,962 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 16 | $147,991 | $19,731 | |
| Penn Presbyterian Medical Center | Philadelphia | 17 | $176,035 | $21,415 | |
| Milton S Hershey Medical Center | Hershey | 16 | $96,841 | $21,622 | |
| Thomas Jefferson University Hospital | Philadelphia | 34 | $84,235 | $22,336 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 21 | $129,570 | $23,646 | |
| St Lukes Hospital | Bethlehem | 12 | $160,744 | $30,134 |
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.