Stomach, Esophageal and Duodenal Procedures with Mcc in Pennsylvania
MS-DRG 326: Stomach, esophageal and duodenal procedures with mcc
$310,471typical hospital bill
$49,730typical amount paid
$36,614–$66,606range paid across 10 hospitals
Pennsylvania hospitals billed Medicare a typical $310,471 for this stay in 2024, about 6.2 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 | |
|---|---|---|---|---|---|
| Upmc Passavant | Pittsburgh | 16 | $286,508 | $36,614 | |
| Wellspan York Hospital | York | 14 | $125,896 | $40,164 | |
| St Lukes Hospital | Bethlehem | 16 | $334,434 | $44,794 | |
| West Penn Hospital | Pittsburgh | 13 | $223,090 | $45,226 | |
| Reading Hospital | West Reading | 13 | $255,650 | $48,313 | |
| Lehigh Valley Hospital | Allentown | 22 | $336,599 | $51,146 | |
| Thomas Jefferson University Hospital | Philadelphia | 14 | $248,678 | $54,924 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 31 | $588,301 | $58,416 | |
| Geisinger Medical Center | Danville | 16 | $412,970 | $58,570 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 32 | $413,960 | $66,606 |
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.