All published prices at Pennsylvania Hospital
115 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| 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% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
139 | $42,828 | $7,208 | +7% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
131 | $18,625 | $3,211 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
118 | $110,377 | $13,643 | +154% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
116 | $29,575 | $3,840 | +24% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
113 | $17,059 | $2,863 | -4% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
113 | $36,236 | $3,288 | +44% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
112 | $63,601 | $9,510 | +71% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
108 | $25,459 | $3,773 | +12% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
107 | $11,879 | $1,945 | +5% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
102 | $103,680 | $30,900 | -8% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
100 | $23,665 | $3,512 | +15% |
|
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc
MS-DRG 027 · Inpatient stay |
85 | $92,296 | $22,757 | -24% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
80 | $316,626 | $23,585 | +139% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
79 | $14,629 | $1,917 | +24% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
77 | $25,483 | $3,261 | +25% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
77 | $80,851 | $10,248 | +35% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
75 | $146,635 | $34,029 | about average |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
75 | $24,292 | $3,486 | +4% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
73 | $55,091 | $8,462 | +46% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
64 | $10,739 | $1,710 | -6% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
64 | $24,720 | $3,150 | +36% |
|
Level 3 Neurostimulator and Related Procedures
APC 5463 · Hospital outpatient visit |
64 | $152,910 | $13,532 | +162% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
62 | $50,234 | $6,895 | +31% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
58 | $52,637 | $6,570 | +33% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
57 | $37,272 | $5,900 | +8% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
52 | $41,746 | $5,758 | +21% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
52 | $36,487 | $5,213 | +33% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
51 | $79,428 | $11,071 | +17% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
45 | $18,887 | $2,829 | +14% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
44 | $60,508 | $7,887 | +88% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
37 | $114,527 | $12,967 | +146% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
36 | $105,427 | $16,240 | +92% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
36 | $79,540 | $21,982 | about average |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
35 | $161,251 | $21,983 | +83% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
35 | $100,183 | $13,649 | +107% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
35 | $11,738 | $1,619 | +5% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
34 | $112,519 | $11,147 | +169% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
32 | $79,992 | $8,562 | +162% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
31 | $60,764 | $8,302 | +104% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
31 | $154,202 | $27,046 | +29% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
30 | $253,471 | $56,454 | +14% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
29 | $152,225 | $22,031 | +51% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
29 | $73,486 | $10,009 | +78% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
29 | $37,721 | $5,011 | +26% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
28 | $68,255 | $9,225 | +107% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
28 | $102,197 | $10,747 | +98% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
27 | $101,949 | $10,870 | +160% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
27 | $82,160 | $18,732 | about average |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
27 | $41,826 | $5,200 | +16% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
27 | $29,564 | $6,380 | +13% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
25 | $110,479 | $15,199 | +96% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
25 | $180,994 | $49,216 | about average |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
24 | $228,387 | $30,515 | +83% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
23 | $387,108 | $54,434 | +118% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
22 | $60,536 | $8,409 | +91% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
22 | $106,977 | $10,885 | +96% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
22 | $98,263 | $14,132 | +92% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
22 | $60,704 | $9,092 | +99% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
21 | $256,467 | $37,349 | +33% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
21 | $81,233 | $10,144 | +118% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
21 | $108,594 | $8,997 | +228% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
21 | $12,861 | $1,613 | +50% |
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay |
20 | $122,025 | $18,959 | +43% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
19 | $61,536 | $7,568 | +101% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
19 | $61,129 | $9,170 | +77% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
19 | $156,688 | $18,882 | +196% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
19 | $98,803 | $10,384 | +205% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
18 | $271,808 | $47,783 | +51% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
18 | $64,335 | $9,783 | +65% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
18 | $138,392 | $18,058 | +116% |
|
Multiple Level Spinal Fusion Except Cervical without Major Complications
MS-DRG 448 · Inpatient stay |
17 | $132,827 | $37,681 | -6% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
16 | $188,601 | $32,085 | +30% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
16 | $300,151 | $51,157 | +64% |
|
Craniotomy and Endovascular Intracranial Procedures with Complications
MS-DRG 026 · Inpatient stay |
16 | $134,177 | $28,670 | about average |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
16 | $7,422 | $1,536 | +16% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures without
MS-DRG 517 · Inpatient stay |
15 | $82,965 | $15,158 | +13% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
15 | $87,407 | $10,413 | +122% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
15 | $196,650 | $33,043 | +32% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
15 | $50,968 | $9,276 | +15% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
14 | $100,530 | $14,627 | +108% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
14 | $55,739 | $5,795 | +121% |
|
Fainting
MS-DRG 312 · Inpatient stay |
14 | $98,538 | $9,034 | +169% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
14 | $140,676 | $19,498 | +98% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
14 | $69,161 | $8,105 | +121% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
14 | $50,731 | $6,129 | +111% |
|
Cochlear Implant Procedure
APC 5166 · Hospital outpatient visit |
14 | $109,706 | $33,680 | -10% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
13 | $84,891 | $13,515 | +77% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
13 | $132,135 | $10,299 | +190% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
13 | $192,344 | $18,009 | +89% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
13 | $676,577 | $91,847 | +152% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.