Other Respiratory System O.r. Procedures with Mcc in Pennsylvania
MS-DRG 166: Other respiratory system o.r. procedures with mcc
$201,838typical hospital bill
$37,902typical amount paid
$31,438–$64,290range paid across 10 hospitals
Pennsylvania hospitals billed Medicare a typical $201,838 for this stay in 2024, about 5.3 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 Pinnacle Hospitals | Harrisburg | 13 | $161,405 | $31,438 | |
| Lancaster General Hospital | Lancaster | 14 | $95,145 | $33,338 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 18 | $382,498 | $34,026 | |
| St Lukes Hospital | Bethlehem | 15 | $277,191 | $35,732 | |
| Lehigh Valley Hospital | Allentown | 13 | $214,714 | $36,117 | |
| Jefferson Abington Hospital | Abington | 12 | $174,912 | $39,686 | |
| Wellspan York Hospital | York | 20 | $106,199 | $40,205 | |
| Allegheny General Hospital | Pittsburgh | 15 | $188,962 | $42,312 | |
| Temple University Hospital | Philadelphia | 14 | $401,247 | $51,285 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 23 | $382,432 | $64,290 |
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.