Sepsis, with major complications in Pennsylvania
MS-DRG 871: Septicemia or severe sepsis without mv >96 hours with mcc
$66,179typical hospital bill
$15,481typical amount paid
$11,850–$35,189range paid across 117 hospitals
Pennsylvania hospitals billed Medicare a typical $66,179 for this stay in 2024, about 4.3 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 | |
|---|---|---|---|---|---|
| Canonsburg General Hospital | Canonsburg | 30 | $57,806 | $11,850 | |
| Ahn Emerus Westmoreland, LLC | Greensburg | 16 | $24,230 | $12,009 | |
| St Clair Hospital | Pittsburgh | 155 | $38,328 | $12,184 | |
| Allegheny Valley Hospital | Natrona | 61 | $55,922 | $12,227 | |
| Excela Health - Frick Hospital | Mount Pleasant | 56 | $27,336 | $12,393 | |
| Heritage Valley Sewickley | Sewickley | 35 | $22,149 | $12,537 | |
| Upmc Horizon | Greenville | 29 | $45,917 | $12,618 | |
| Upmc Jameson | New Castle | 77 | $38,625 | $12,624 | |
| Geisinger Medical Center Muncy | Muncy | 23 | $38,588 | $12,728 | |
| Upmc Carlisle | Carlisle | 168 | $56,269 | $12,760 | |
| Jefferson Lansdale Hospital | Lansdale | 271 | $47,099 | $12,818 | |
| Penn Highlands Mon Valley | Monongahela | 48 | $34,841 | $12,824 | |
| Upmc Northwest | Seneca | 68 | $48,653 | $13,002 | |
| Sharon Regional Medical Center | Sharon | 27 | $39,096 | $13,161 | |
| Pottstown Hospital | Pottstown | 162 | $83,505 | $13,174 | |
| Lehigh Valley Hospital - Hazleton | Hazleton | 171 | $79,592 | $13,208 | |
| Excela Health Westmoreland Regional Hospital | Greensburg | 160 | $37,335 | $13,214 | |
| Acmh Hospital | Kittanning | 14 | $33,652 | $13,311 | |
| Regional Hospital of Scranton | Scranton | 204 | $82,752 | $13,408 | |
| Jefferson Hospital | Jefferson Hills | 128 | $67,923 | $13,510 | |
| Wellspan Evangelical Community Hospital | Lewisburg | 80 | $80,480 | $13,589 | |
| Independence Health System Butler Memorial Hospita | Butler | 59 | $40,698 | $13,602 | |
| Doylestown Hospital | Doylestown | 448 | $44,529 | $13,613 | |
| Conemaugh Nason Medical Center | Roaring Spring | 33 | $20,377 | $13,620 | |
| Upmc Passavant | Pittsburgh | 106 | $104,488 | $13,641 | |
| Riddle Memorial Hospital | Media | 398 | $96,132 | $13,690 | |
| Wellspan Ephrata Community Hospital | Ephrata | 258 | $59,119 | $13,698 | |
| Geisinger St. Luke's Hospital | Orwigsburg | 181 | $63,733 | $13,700 | |
| Uniontown Hospital | Uniontown | 157 | $31,809 | $13,701 | |
| Indiana Regional Medical Center | Indiana | 111 | $39,977 | $13,742 | |
| Lehigh Valley Hospital - Dickson City | Dickson City | 37 | $61,848 | $13,748 | |
| Penn State Health Holy Spirit Medical Center | Camp Hill | 113 | $83,842 | $13,753 | |
| Paoli Hospital | Paoli | 416 | $107,338 | $13,955 | |
| Upmc East | Monroeville | 105 | $94,903 | $13,965 | |
| Chester County Hospital | West Chester | 349 | $69,570 | $14,204 | |
| St Luke's Hospital - Grand View Campus | Sellersville | 153 | $57,828 | $14,210 | |
| The Washington Hospital | Washington | 76 | $24,689 | $14,216 | |
| Ahn Wexford Hospital | Wexford | 102 | $60,307 | $14,242 | |
| Heritage Valley Beaver | Beaver | 84 | $30,263 | $14,339 | |
| Penn Highlands Dubois | Dubois | 194 | $31,962 | $14,365 | |
| Holy Redeemer Hospital and Medical Center | Meadowbrook | 185 | $44,906 | $14,403 | |
| Upmc Williamsport | Williamsport | 256 | $67,464 | $14,463 | |
| Geisinger-Bloomsburg Hospital | Bloomsburg | 60 | $47,472 | $14,599 | |
| Wilkes-Barre General Hospital | Wilkes-Barre | 139 | $93,629 | $14,688 | |
| Forbes Hospital | Monroeville | 156 | $70,896 | $14,701 | |
| Excela Health Latrobe Hospital | Latrobe | 124 | $30,016 | $14,766 | |
| Penn Highlands Huntingdon | Huntingdon | 39 | $23,483 | $14,858 | |
| Phoenixville Hospital | Phoenixville | 161 | $81,239 | $14,867 | |
| Meadville Medical Center | Meadville | 58 | $44,029 | $14,916 | |
| Upmc Memorial | York | 134 | $65,249 | $14,922 | |
| Grove City Medical Center | Grove City | 42 | $41,940 | $14,960 | |
| St Luke's Hospital - Monroe Campus | Stroudsburg | 246 | $125,218 | $14,999 | |
| St Luke's Hospital - Carbon Campus | Lehighton | 170 | $127,114 | $15,240 | |
| Upmc Somerset | Somerset | 50 | $28,785 | $15,298 | |
| Geisinger-Community Medical Center | Scranton | 556 | $131,956 | $15,337 | |
| Lehigh Valley Hospital - Pocono | East Stroudsburg | 120 | $107,223 | $15,339 | |
| Gettysburg Hospital | Gettysburg | 249 | $50,130 | $15,408 | |
| Upmc St Margaret | Pittsburgh | 69 | $86,652 | $15,480 | |
| Bryn Mawr Hospital | Bryn Mawr | 449 | $105,601 | $15,481 | |
| Wellspan Good Samaritan Hospital | Lebanon | 350 | $47,218 | $15,593 | |
| Upmc Altoona | Altoona | 165 | $61,463 | $15,598 | |
| Penn State Health St. Joseph | Reading | 142 | $68,489 | $15,604 | |
| St Mary Medical Center | Langhorne | 432 | $47,299 | $15,656 | |
| Wellspan Chambersburg Hospital | Chambersburg | 535 | $49,592 | $15,658 | |
| Upmc Bedford Memorial | Everett | 26 | $29,414 | $15,658 | |
| Upmc McKeesport Hospital | Mc Keesport | 18 | $75,471 | $15,711 | |
| Schuylkill Medical Center - South Jackson Street | Pottsville | 106 | $85,802 | $15,731 | |
| Lancaster General Hospital | Lancaster | 309 | $61,192 | $15,949 | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 543 | $133,564 | $16,101 | |
| Geisinger-Lewistown Hospital | Lewistown | 151 | $60,094 | $16,168 | |
| St Luke's Miners Memorial Hospital | Coaldale | 117 | $73,219 | $16,201 | |
| Warren General Hospital | Warren | 113 | $19,336 | $16,207 | |
| St Luke's Hospital - Easton Campus | Easton | 67 | $95,266 | $16,229 | |
| Punxsutawney Area Hospital | Punxsutawney | 13 | $16,547 | $16,267 | |
| Upmc Lititz | Lititz | 53 | $51,873 | $16,291 | |
| Upmc Pinnacle Hospitals | Harrisburg | 458 | $70,586 | $16,689 | |
| Wayne Memorial Hospital | Honesdale | 54 | $44,627 | $16,759 | |
| Jefferson Abington Hospital | Abington | 803 | $66,179 | $16,796 | |
| St Luke's Hospital - Upper Bucks Campus | Quakertown | 240 | $136,608 | $16,900 | |
| Lower Bucks Hospital | Bristol | 56 | $85,689 | $16,929 | |
| Reading Hospital | West Reading | 814 | $69,880 | $16,985 | |
| Upmc Hanover | Hanover | 158 | $61,469 | $17,015 | |
| Jefferson Health- Northeast | Philadelphia | 764 | $64,908 | $17,221 | |
| Suburban Community Hospital | Norristown | 53 | $69,620 | $17,387 | |
| Robert Packer Hospital | Sayre | 230 | $57,353 | $17,434 | |
| Lehigh Valley Hospital | Allentown | 992 | $110,274 | $17,438 | |
| Upmc Hamot | Erie | 180 | $140,999 | $17,707 | |
| Jefferson Einstein Montgomery Hospital | East Norriton | 186 | $59,890 | $17,712 | |
| Saint Vincent Hospital | Erie | 192 | $111,753 | $17,787 | |
| Wellspan Waynesboro Hospital | Waynesboro | 109 | $37,547 | $17,805 | |
| Roxborough Memorial Hospital | Philadelphia | 58 | $92,299 | $17,874 | |
| Main Line Hospital Lankenau | Wynnewood | 520 | $113,263 | $17,951 | |
| Mount Nittany Medical Center | State College | 173 | $53,925 | $18,142 | |
| Penn State Health Lancaster Medical Center | Lancaster | 59 | $78,260 | $18,363 | |
| Conemaugh Memorial Medical Center | Johnstown | 208 | $51,980 | $18,393 | |
| Wellspan York Hospital | York | 711 | $68,009 | $18,404 | |
| Temple Health - Chestnut Hill Hospital | Philadelphia | 161 | $202,532 | $18,448 | |
| West Penn Hospital | Pittsburgh | 37 | $113,284 | $18,506 | |
| Upmc Mercy | Pittsburgh | 85 | $107,506 | $18,660 | |
| St Lukes Hospital | Bethlehem | 457 | $137,361 | $18,878 | |
| Nazareth Hospital | Philadelphia | 251 | $65,272 | $19,056 | |
| Independence Health System Clarion Hospital | Clarion | 23 | $23,557 | $19,063 | |
| Pennsylvania Hospital | Philadelphia | 143 | $139,673 | $19,415 | |
| Crozer Chester Medical Center | Upland | 294 | $170,870 | $19,746 | |
| Magee Womens Hospital of Upmc Health System | Pittsburgh | 43 | $141,507 | $19,804 | |
| Geisinger Medical Center | Danville | 522 | $143,518 | $20,353 | |
| Penn Presbyterian Medical Center | Philadelphia | 159 | $162,306 | $20,947 | |
| Allegheny General Hospital | Pittsburgh | 117 | $105,288 | $21,137 | |
| St Luke's Hospital - Anderson Campus | Easton | 452 | $121,969 | $21,276 | |
| Mercy Catholic Medical Center- Mercy Fitzgerald | Darby | 170 | $77,341 | $22,047 | |
| Penn State Health Hampden Medical Center | Enola | 59 | $83,033 | $22,441 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 306 | $233,517 | $22,790 | |
| Milton S Hershey Medical Center | Hershey | 263 | $100,785 | $22,924 | |
| Temple University Hospital | Philadelphia | 128 | $217,652 | $24,454 | |
| Jefferson Einstein Philadelphia Hospital | Philadelphia | 118 | $85,782 | $24,969 | |
| Thomas Jefferson University Hospital | Philadelphia | 439 | $105,757 | $25,881 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 253 | $286,636 | $35,189 |
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.