Pancreas, Liver and Shunt Procedures with Mcc in Pennsylvania
MS-DRG 405: Pancreas, liver and shunt procedures with mcc
$458,140typical hospital bill
$56,025typical amount paid
$44,922–$69,682range paid across 5 hospitals
Pennsylvania hospitals billed Medicare a typical $458,140 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 | |
|---|---|---|---|---|---|
| Reading Hospital | West Reading | 11 | $205,044 | $44,922 | |
| St Lukes Hospital | Bethlehem | 11 | $462,351 | $48,794 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 28 | $470,113 | $56,025 | |
| Thomas Jefferson University Hospital | Philadelphia | 13 | $248,121 | $59,549 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 22 | $458,140 | $69,682 |
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.