Heart valve replacement through a catheter (TAVR) in Pennsylvania
MS-DRG 267: Endovascular cardiac valve replacement and supplement procedures without mcc
$201,730typical hospital bill
$40,903typical amount paid
$31,765–$57,140range paid across 38 hospitals
Pennsylvania hospitals billed Medicare a typical $201,730 for this stay in 2024, about 4.9 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 | |
|---|---|---|---|---|---|
| St Clair Hospital | Pittsburgh | 13 | $181,005 | $31,765 | |
| Jefferson Hospital | Jefferson Hills | 18 | $157,607 | $31,836 | |
| Independence Health System Butler Memorial Hospita | Butler | 26 | $150,945 | $32,678 | |
| Penn State Health Holy Spirit Medical Center | Camp Hill | 14 | $184,004 | $32,849 | |
| Sharon Regional Medical Center | Sharon | 14 | $175,635 | $33,312 | |
| Penn Highlands Dubois | Dubois | 11 | $96,761 | $34,324 | |
| Upmc Williamsport | Williamsport | 13 | $196,877 | $34,410 | |
| Doylestown Hospital | Doylestown | 26 | $214,164 | $34,868 | |
| Chester County Hospital | West Chester | 26 | $176,568 | $35,128 | |
| Forbes Hospital | Monroeville | 13 | $139,968 | $35,404 | |
| Lancaster General Hospital | Lancaster | 90 | $151,724 | $36,423 | |
| Regional Hospital of Scranton | Scranton | 105 | $359,438 | $36,786 | |
| Penn State Health St. Joseph | Reading | 26 | $178,257 | $36,864 | |
| Upmc Pinnacle Hospitals | Harrisburg | 66 | $149,285 | $38,023 | |
| Jefferson Abington Hospital | Abington | 64 | $153,430 | $39,203 | |
| Wellspan York Hospital | York | 137 | $151,357 | $39,730 | |
| Reading Hospital | West Reading | 47 | $189,791 | $40,200 | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 47 | $308,850 | $40,444 | |
| Robert Packer Hospital | Sayre | 66 | $150,435 | $40,899 | |
| Saint Vincent Hospital | Erie | 12 | $389,490 | $40,906 | |
| Upmc Hamot | Erie | 26 | $219,334 | $41,676 | |
| Geisinger-Community Medical Center | Scranton | 20 | $331,292 | $41,803 | |
| Lehigh Valley Hospital | Allentown | 213 | $463,148 | $41,992 | |
| Conemaugh Memorial Medical Center | Johnstown | 29 | $264,550 | $42,367 | |
| Jefferson Einstein Montgomery Hospital | East Norriton | 29 | $164,090 | $42,385 | |
| St Mary Medical Center | Langhorne | 46 | $252,282 | $42,693 | |
| Allegheny General Hospital | Pittsburgh | 42 | $163,499 | $42,856 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 40 | $253,695 | $43,654 | |
| Main Line Hospital Lankenau | Wynnewood | 89 | $152,061 | $44,642 | |
| Geisinger Medical Center | Danville | 46 | $309,176 | $45,086 | |
| St Lukes Hospital | Bethlehem | 158 | $463,112 | $46,229 | |
| Milton S Hershey Medical Center | Hershey | 59 | $214,102 | $48,815 | |
| Penn Presbyterian Medical Center | Philadelphia | 121 | $275,082 | $48,882 | |
| Thomas Jefferson University Hospital | Philadelphia | 43 | $207,316 | $50,752 | |
| Jefferson Einstein Philadelphia Hospital | Philadelphia | 28 | $206,583 | $52,925 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 138 | $334,558 | $53,779 | |
| Wilkes-Barre General Hospital | Wilkes-Barre | 26 | $539,336 | $54,303 | |
| Temple University Hospital | Philadelphia | 54 | $478,511 | $57,140 |
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.