16/100
#2,274 nationally
Penn Presbyterian Medical Center
51 North 39Th Street, Philadelphia, PA 19104 · (215) 662-8000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Penn Presbyterian Medical Center billed $7.45 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
- 7.5x
- volume-weighted across all its priced work
- Procedures priced
- 155
- inpatient and outpatient combined
- Rank in PA
- #106
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 16% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 12% of U.S. hospitals.
Better than 19% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
618 | $27,083 | $2,336 | +130% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
499 | $63,113 | $3,274 | +150% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
344 | $1,915 | $688 | -39% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
254 | $29,805 | $2,052 | +131% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
235 | $104,800 | $20,711 | +31% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
215 | $230,635 | $23,563 | +74% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
212 | $64,298 | $7,132 | +61% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
207 | $82,975 | $13,238 | +33% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
175 | $103,115 | $11,017 | +52% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
168 | $42,436 | $3,133 | +108% |
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 |
|---|---|---|---|
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
$400,056 | $41,966 | +240% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$134,924 | $12,602 | +222% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$150,846 | $15,002 | +194% |
|
Cardiac Congenital and Valvular Disorders with Major Complications
MS-DRG 306 · Inpatient stay |
$243,439 | $23,576 | +182% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$152,035 | $15,884 | +179% |
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
$2,411,638 | $322,998 | +175% |
|
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with
MS-DRG 617 · Inpatient stay |
$194,017 | $21,537 | +163% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$62,472 | $5,266 | +157% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,915 | $688 | -39% |
|
Concomitant Left Atrial Appendage Closure and Cardiac Ablation
MS-DRG 317 · Inpatient stay |
$353,865 | $62,029 | about average |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$11,674 | $1,710 | about average |
|
Stomach, Esophageal and Duodenal Procedures without Complications/mcc
MS-DRG 328 · Inpatient stay |
$83,609 | $16,742 | +10% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
$85,727 | $19,233 | +15% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$43,487 | $5,536 | +20% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$37,114 | $8,718 | +21% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$103,860 | $18,732 | +25% |
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.