Pleural Effusion with Mcc in Pennsylvania
MS-DRG 186: Pleural effusion with mcc
$98,776typical hospital bill
$13,755typical amount paid
$13,157–$20,485range paid across 4 hospitals
Pennsylvania hospitals billed Medicare a typical $98,776 for this stay in 2024, about 7.2 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 | |
|---|---|---|---|---|---|
| Lehigh Valley Hospital | Allentown | 11 | $90,396 | $13,157 | |
| Jefferson Abington Hospital | Abington | 14 | $74,882 | $13,343 | |
| St Lukes Hospital | Bethlehem | 21 | $107,156 | $14,167 | |
| Temple University Hospital | Philadelphia | 15 | $174,478 | $20,485 |
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.