Respiratory Infections and Inflammations Without Cc/Mcc in Pennsylvania
MS-DRG 179: Respiratory infections and inflammations without cc/mcc
$36,802typical hospital bill
$6,254typical amount paid
$5,269–$6,879range paid across 5 hospitals
Pennsylvania hospitals billed Medicare a typical $36,802 for this stay in 2024, about 5.9 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 | |
|---|---|---|---|---|---|
| Paoli Hospital | Paoli | 12 | $36,802 | $5,269 | |
| Wellspan Evangelical Community Hospital | Lewisburg | 12 | $41,518 | $5,286 | |
| Jefferson Abington Hospital | Abington | 18 | $24,437 | $6,254 | |
| Reading Hospital | West Reading | 12 | $29,986 | $6,842 | |
| Lehigh Valley Hospital | Allentown | 15 | $45,393 | $6,879 |
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.