Simple Pneumonia and Pleurisy Without Cc/Mcc in Pennsylvania
MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc
$27,289typical hospital bill
$5,703typical amount paid
$4,680–$6,040range paid across 4 hospitals
Pennsylvania hospitals billed Medicare a typical $27,289 for this stay in 2024, about 4.8 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 | |
|---|---|---|---|---|---|
| St Luke's Hospital - Grand View Campus | Sellersville | 12 | $20,883 | $4,680 | |
| Jefferson Abington Hospital | Abington | 18 | $21,140 | $5,593 | |
| Lehigh Valley Hospital | Allentown | 17 | $33,439 | $5,814 | |
| Bryn Mawr Hospital | Bryn Mawr | 11 | $35,324 | $6,040 |
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.