21/100
#2,153 nationally
Pennsylvania Hospital
800 Spruce Street, Philadelphia, PA 19107 · (215) 829-3000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Pennsylvania Hospital billed $6.76 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
- 6.8x
- volume-weighted across all its priced work
- Procedures priced
- 115
- inpatient and outpatient combined
- Rank in PA
- #100
- 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 18% of U.S. hospitals.
Better than 36% of U.S. hospitals.
Better than 16% of U.S. hospitals.
Better than 8% 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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
800 | $2,988 | $688 | -5% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
342 | $10,428 | $2,047 | -19% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
259 | $34,044 | $2,743 | +75% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
239 | $16,681 | $2,348 | +42% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
217 | $13,216 | $1,620 | +31% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
172 | $33,553 | $5,762 | -4% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
159 | $91,869 | $18,278 | +15% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
147 | $62,864 | $13,238 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
143 | $139,673 | $19,415 | +114% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
143 | $147,988 | $7,845 | +150% |
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 |
|---|---|---|---|
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$289,924 | $30,470 | +270% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
$108,594 | $8,997 | +228% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$173,749 | $23,328 | +206% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$98,803 | $10,384 | +205% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$156,688 | $18,882 | +196% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$132,135 | $10,299 | +190% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$135,744 | $12,515 | +187% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$98,538 | $9,034 | +169% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc
MS-DRG 027 · Inpatient stay |
$92,296 | $22,757 | -24% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$10,428 | $2,047 | -19% |
|
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
MS-DRG 457 · Inpatient stay |
$237,337 | $51,175 | -17% |
|
Cochlear Implant Procedure
APC 5166 · Hospital outpatient visit |
$109,706 | $33,680 | -10% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$103,680 | $30,900 | -8% |
|
Multiple Level Spinal Fusion Except Cervical without Major Complications
MS-DRG 448 · Inpatient stay |
$132,827 | $37,681 | -6% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$10,739 | $1,710 | -6% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$2,988 | $688 | -5% |
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.