Viral Illness Without Mcc in Pennsylvania
MS-DRG 866: Viral illness without mcc
$41,697typical hospital bill
$8,106typical amount paid
$6,777–$13,208range paid across 4 hospitals
Pennsylvania hospitals billed Medicare a typical $41,697 for this stay in 2024, about 5.1 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 | |
|---|---|---|---|---|---|
| Chester County Hospital | West Chester | 12 | $31,673 | $6,777 | |
| Jefferson Abington Hospital | Abington | 11 | $32,403 | $7,908 | |
| Lehigh Valley Hospital | Allentown | 15 | $50,992 | $8,303 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 12 | $99,371 | $13,208 |
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.