Revision of Hip or Knee Replacement with Mcc in Pennsylvania
MS-DRG 466: Revision of hip or knee replacement with mcc
$265,933typical hospital bill
$47,429typical amount paid
$37,617–$58,491range paid across 4 hospitals
Pennsylvania hospitals billed Medicare a typical $265,933 for this stay in 2024, about 5.6 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 | |
|---|---|---|---|---|---|
| Geisinger-Community Medical Center | Scranton | 11 | $288,445 | $37,617 | |
| Allegheny General Hospital | Pittsburgh | 13 | $178,963 | $45,453 | |
| Lehigh Valley Hospital | Allentown | 16 | $296,141 | $49,404 | |
| Thomas Jefferson University Hospital | Philadelphia | 19 | $243,422 | $58,491 |
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.