37/100
#1,691 nationally
Paoli Hospital
255 West Lancaster Avenue, Paoli, PA 19301 · (610) 648-1000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Paoli Hospital billed $6.70 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.7x
- volume-weighted across all its priced work
- Procedures priced
- 154
- inpatient and outpatient combined
- Rank in PA
- #74
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 13% of U.S. hospitals.
Better than 77% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 26% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
416 | $107,338 | $13,955 | +65% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
387 | $22,764 | $2,614 | +17% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
323 | $78,337 | $9,614 | +80% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
210 | $24,134 | $3,127 | -4% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
204 | $8,005 | $1,564 | -21% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
177 | $42,200 | $12,615 | -32% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
152 | $94,953 | $11,563 | +73% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
120 | $83,248 | $9,499 | +79% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
114 | $28,971 | $6,811 | -27% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
107 | $46,809 | $5,903 | +45% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
$75,184 | $6,192 | +109% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
$80,761 | $7,403 | +103% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$132,108 | $13,091 | +97% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
$64,115 | $5,816 | +83% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$78,337 | $9,614 | +80% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$83,248 | $9,499 | +79% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$84,436 | $8,684 | +74% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$68,289 | $7,603 | +74% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$9,793 | $3,075 | -49% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$18,566 | $5,302 | -49% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$19,795 | $6,603 | -49% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$80,999 | $31,642 | -45% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,054 | $1,965 | -45% |
|
Level 2 Electrophysiologic Procedures
APC 5212 · Hospital outpatient visit |
$25,027 | $7,205 | -44% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$13,991 | $3,316 | -40% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,168 | $1,517 | -40% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.