29/100
#1,913 nationally
Pottstown Hospital
1600 East High Street, Pottstown, PA 19464 · (610) 327-7000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Pottstown Hospital billed $6.91 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
- 6.9x
- volume-weighted across all its priced work
- Procedures priced
- 63
- inpatient and outpatient combined
- Rank in PA
- #87
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 15% of U.S. hospitals.
Better than 44% of U.S. hospitals.
Better than 29% of U.S. hospitals.
Better than 45% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
267 | $22,678 | $2,530 | +17% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
162 | $83,505 | $13,174 | +28% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
114 | $61,344 | $8,955 | +41% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
107 | $11,551 | $2,186 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
88 | $68,093 | $12,218 | +9% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
77 | $29,888 | $4,772 | +9% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
54 | $12,860 | $1,521 | +28% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
53 | $48,019 | $5,849 | +49% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
45 | $45,648 | $5,844 | +53% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
42 | $79,928 | $9,567 | +72% |
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 |
|---|---|---|---|
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$94,623 | $12,858 | +89% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$66,690 | $6,662 | +79% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$79,928 | $9,567 | +72% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$58,891 | $6,570 | +70% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
$76,037 | $9,204 | +69% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$52,875 | $5,897 | +67% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
$57,477 | $5,857 | +64% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$49,276 | $5,454 | +61% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$7,859 | $1,785 | -33% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$17,495 | $3,128 | -25% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$27,291 | $5,057 | -21% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$16,489 | $3,037 | -19% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$29,318 | $5,413 | -17% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$163,712 | $32,557 | -8% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$34,822 | $6,074 | -5% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$138,175 | $25,404 | -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.