Heart valve replacement through a catheter (TAVR), with major complications in Pennsylvania
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$247,159typical hospital bill
$53,948typical amount paid
$41,202–$84,860range paid across 30 hospitals
Pennsylvania hospitals billed Medicare a typical $247,159 for this stay in 2024, about 4.6 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 | |
|---|---|---|---|---|---|
| Excela Health Westmoreland Regional Hospital | Greensburg | 27 | $128,878 | $41,202 | |
| Upmc Passavant | Pittsburgh | 17 | $189,802 | $41,874 | |
| Independence Health System Butler Memorial Hospita | Butler | 18 | $174,108 | $41,994 | |
| Doylestown Hospital | Doylestown | 40 | $198,386 | $45,064 | |
| Geisinger-Community Medical Center | Scranton | 23 | $348,591 | $46,218 | |
| Upmc Pinnacle Hospitals | Harrisburg | 106 | $154,566 | $48,680 | |
| Lancaster General Hospital | Lancaster | 28 | $200,261 | $48,865 | |
| Upmc Altoona | Altoona | 14 | $167,007 | $49,482 | |
| Wellspan York Hospital | York | 29 | $220,144 | $50,938 | |
| Regional Hospital of Scranton | Scranton | 25 | $456,450 | $51,242 | |
| Jefferson Abington Hospital | Abington | 23 | $207,759 | $51,890 | |
| Robert Packer Hospital | Sayre | 15 | $186,866 | $52,308 | |
| Upmc Hamot | Erie | 22 | $242,284 | $52,496 | |
| Geisinger Wyoming Valley Medical Center | Wilkes Barre | 31 | $355,803 | $52,828 | |
| Jefferson Health- Northeast | Philadelphia | 18 | $200,537 | $53,937 | |
| Jefferson Einstein Montgomery Hospital | East Norriton | 15 | $174,485 | $53,958 | |
| Reading Hospital | West Reading | 11 | $252,035 | $53,994 | |
| Lehigh Valley Hospital | Allentown | 40 | $523,737 | $54,455 | |
| Main Line Hospital Lankenau | Wynnewood | 124 | $214,654 | $54,551 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 49 | $351,489 | $56,408 | |
| Saint Vincent Hospital | Erie | 21 | $443,135 | $57,234 | |
| Geisinger Medical Center | Danville | 27 | $380,224 | $57,450 | |
| Allegheny General Hospital | Pittsburgh | 40 | $217,632 | $59,618 | |
| St Lukes Hospital | Bethlehem | 66 | $553,920 | $60,255 | |
| Milton S Hershey Medical Center | Hershey | 14 | $264,082 | $62,911 | |
| Penn Presbyterian Medical Center | Philadelphia | 41 | $403,696 | $68,359 | |
| Jefferson Einstein Philadelphia Hospital | Philadelphia | 22 | $282,265 | $71,222 | |
| Temple University Hospital | Philadelphia | 23 | $640,125 | $71,400 | |
| Thomas Jefferson University Hospital | Philadelphia | 20 | $378,379 | $79,526 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 50 | $590,703 | $84,860 |
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.