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Pennsylvania hospital prices

What Pennsylvania hospitals charge across every procedure they publish in their federally-mandated machine-readable file.

Hospitals

Procedures

209

Payers

114

Rate rows

216,936

Top procedures in Pennsylvania

By number of Pennsylvania hospitals reporting (≥2). Click for the national distribution.

Procedure	Type	Code	Pennsylvania hospitals	Pennsylvania median
OR procedure for obesity w CC	MS-DRG	620	51	$16,716
GI hemorrhage w/o CC/MCC	MS-DRG	379	51	$6,495.29
Heart failure & shock w/o CC/MCC	MS-DRG	293	51	$6,002.16
Hip & femur procedures except major joint w CC	MS-DRG	481	50	$21,427
Kidney/UTI w MCC	MS-DRG	689	50	$11,935
Kidney/UTI w/o MCC	MS-DRG	690	50	$8,081.22
Cardiac arrhythmia w MCC	MS-DRG	308	50	$11,992
OR procedure for obesity w MCC	MS-DRG	619	50	$29,400
COPD w/o CC/MCC	MS-DRG	192	50	$6,614.81
Cardiac arrhythmia w CC	MS-DRG	309	50	$7,402.68
Major joint replacement w/o MCC	MS-DRG	470	50	$19,142
Heart failure & shock w CC	MS-DRG	292	50	$8,551.1
Fractures of femur w/o MCC	MS-DRG	533	50	$16,157
Hip & femur procedures except major joint w MCC	MS-DRG	480	50	$29,653
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	50	$5,638.58
Major small/large bowel procedures w MCC	MS-DRG	329	50	$44,636
GI hemorrhage w CC	MS-DRG	378	50	$10,251
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	50	$16,578
Psychoses	MS-DRG	885	50	$12,644
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	50	$17,167
Heart failure & shock w MCC	MS-DRG	291	50	$12,787
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	50	$13,471
Major small/large bowel procedures w CC	MS-DRG	330	50	$24,101
OR procedure for obesity w/o CC/MCC	MS-DRG	621	50	$14,672
COPD w MCC	MS-DRG	190	50	$11,058
Major joint replacement w MCC	MS-DRG	469	50	$30,797
COPD w CC	MS-DRG	191	50	$8,822.96
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	49	$16,150
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	49	$12,217
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	49	$6,399.36
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	49	$10,428
Simple pneumonia & pleurisy w CC	MS-DRG	194	49	$8,469.77
Respiratory infections & inflammations w MCC	MS-DRG	177	49	$15,801
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	49	$35,105
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	49	$19,704
AMI discharged alive w/o CC/MCC	MS-DRG	282	48	$7,435.91
AMI discharged alive w CC	MS-DRG	281	48	$9,244.99
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	48	$7,678.11
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	48	$18,770
AMI discharged alive w MCC	MS-DRG	280	48	$15,598

Top payers in Pennsylvania

Payer	Hospitals	Rates	Median rate
Aetna	37	23,452	$586.16
Blue Cross Blue Shield	37	28,849	$977.04
Cigna	37	11,570	$933.52
UnitedHealthcare	36	12,507	$479.72
upmc health plan	31	13,249	$418.93
amerihealth caritas	28	4,704	$220.15
geisinger	27	4,675	$424.6
upmc work partners	25	3,166	$823.15
pa health & wellness	23	5,384	$285.23
Humana	19	2,974	$1,002.4
First Health	15	3,446	$1,028.34
health partners plans (jefferson health plan)	15	994	$126.81
intergroup	14	4,453	$1,104.8
private health care systems	13	2,545	$1,436.4
Multiplan	12	5,746	$897.78
wirerope works	5	1,446	$628.84
america's choice	5	1,446	$920.8
innovage	5	676	$255.81
keystone health plan	5	481	$14,997
keystone first	5	1,878	$299.06
preferred healthcare system	5	1,054	$980.5
premier comp solutions	5	88	$1,376.17
cbhnp	4	60	$9.36
naphcare	4	622	$516.12
three rivers provider network	4	893	$758.64
clover health	4	433	$379.93
keystone autism services	4	255	$12,073
Oscar Health	3	550	$376.19
occunet	3	437	$304.19
gateway health plan	3	684	$230.45

Pennsylvania hospitals (top 76 by compliance)

Hospital	City	Grade	Score	Procedures	Payers
Thomas Jefferson University Hospital	PHILADELPHIA	A	100	202	30
Jefferson Health-northeast	PHILADELPHIA	A	100	193	44
UPMC Hamot	ERIE	A	100	173	17
UPMC Altoona	ALTOONA	A	100	172	13
UPMC Children's Hospital of Pittsburgh	PITTSBURGH	A	100	172	13
UPMC Magee-Womens Hospital	PITTSBURGH	A	100	172	13
Children's Home of Pittsburgh	PITTSBURGH	A	100	172	13
UPMC Cole	COUDERSPORT	A	100	169	14
UPMC Mercy	PITTSBURGH	A	100	165	18
DIVINE PROVIDENCE HOSPITAL	WILLIAMSPORT	A	100	164	15
UPMC Williamsport Divine Providence Campus	WILLIAMSPORT	A	100	164	15
UPMC Lock Haven	LOCK HAVEN	A	100	164	15
UPMC Northwest	SENECA	A	100	163	14
UPMC East	MONROEVILLE	A	100	163	14
UPMC Wellsboro	WELLSBORO	A	100	163	14
UPMC Passavant	PITTSBURGH	A	100	162	15
UPMC Jameson	NEW CASTLE	A	100	159	13
UPMC Horizon	GREENVILLE	A	100	156	17
UPMC Bedford	EVERETT	A	100	154	17
UPMC McKeesport	MCKEESPORT	A	100	154	15
UPMC St. Margaret	PITTSBURGH	A	100	153	13
UPMC Muncy	MUNCY	A	100	136	15
CURAHEALTH HERITAGE VALLEY	BEAVER	A	97	167	9
Temple University Hospital	PHILADELPHIA	A	96	186	21
Jeanes Hospital	PHILADELPHIA	A	96	185	18
Hospital Of The Fox Chase Cancer Center	PHILADELPHIA	A	96	160	16
Children's Hospital of Philadelphia	PHILADELPHIA	A	90	11	18
UPMC Western Psychiatric Hospital	PITTSBURGH	B	87	16	5
Clarion Hospital	CLARION	B	86	195	0
Butler Memorial Hospital	BUTLER	B	86	194	0
Penn State Health Holy Spirit Medical Center	CAMP HILL	B	86	192	0
PENN STATE HERSHEY REHABILITATION LL	HUMMELSTOWN	B	86	180	0
Penn State Health St. Joseph Center	READING	B	86	180	0
Penn State Health Hershey Medical Center	HERSHEY	B	86	180	0
Penn State Health Hampden Medical Center	ENOLA	B	86	177	0
Reading Hospital	READING	B	86	174	0
Uniontown Hospital	UNIONTOWN	B	86	170	0
Chan Soon-Shiong Medical Center at Windber	WINDBER	B	86	166	0
Doylestown Hospital	DOYLESTOWN	B	86	162	0
Hospital Of Univ Of Pennsylvania	PHILADELPHIA	B	86	158	0
Pennsylvania Hospital	PHILADELPHIA	B	86	158	0
Penn Presbyterian Medical Center	PHILADELPHIA	B	86	153	0
Pottstown Hospital	POTTSTOWN	B	86	152	0
Chestnut Hill Hospital	PHILADELPHIA	B	86	152	0
Wayne Memorial Hospital	HONESDALE	B	86	152	0
Phoenixville Hospital	PHOENIXVILLE	B	86	152	0
Physicians Care Surgical Hospital	ROYERSFORD	B	86	131	0
Armstrong Center for Medicine and Health	KITTANNING	B	86	130	0
St. Christopher's Hospital for Children	PHILADELPHIA	B	86	129	0
Conemaugh Miners Medical Center	HASTINGS	B	86	125	0
Conemaugh Miners Medical Center	HASTINGS	B	86	125	0
Conemaugh Meyersdale Medical Center	MEYERSDALE	B	86	125	0
Excela Health Westmoreland Hospital	GREENSBURG	B	86	111	0
Excela Health Latrobe Hospital	LATROBE	B	86	104	0
Excela Health Frick Hospital	MOUNT PLEASANT	B	86	99	0
Penn Medicine Chester County Hospital	WEST CHESTER	B	86	96	0
LIFECARE HOSPITALS OF CHESTER COUNTY	WEST CHESTER	B	86	96	0
Good Shepherd Specialty Hospital	BETHLEHEM	B	85	8	17
UPMC West Shore	HARRISBURG	B	82	73	12
UPMC Memorial	YORK	B	82	72	12
UPMC Carlisle	CARLISLE	B	82	72	13
UPMC Hanover	HANOVER	B	82	71	13
UPMC Lititz	LITITZ	B	82	69	11
Washington Hospital, The	WASHINGTON	B	82	68	11
Washington Health System Greene	WAYNESBURG	B	82	68	11
PENNSYLVANIA PSYCHIATRIC INSTITUTE	HARRISBURG	B	81	38	0
Allied Services Institute of Rehabilitation	SCRANTON	C	74	70	0
John Heinz Institute of Rehabilitation	WILKES-BARRE	C	74	70	0
Titusville Area Hospital	TITUSVILLE	C	74	40	5
Wills Eye Hospital	PHILADELPHIA	C	72	11	0
Meadville Medical Center	MEADVILLE	C	70	40	1
Bryn Mawr Hospital	BRYN MAWR	D	63	41	0
Paoli Hospital	PAOLI	D	63	41	0
Lankenau Medical Center	WYNNEWOOD	D	63	40	0
Riddle Memorial Hospital	MEDIA	D	63	39	0
Haven Behavioral Hospital Of Eastern Pennsylvania	READING	F	59	9	0