Inpatient stay · MS-DRG 981 · Surgery or procedure

Extensive O.R. procedures unrelated to principal diagnosis with MCC

In 2024, Medicare and patients paid an average of $47,051 per stay at 680 hospitals. Half of hospitals averaged between $34,585 and $51,168.

National figures, 2024

Average payment per case: $47,051
Typical range (middle half of hospitals): $34,585–$51,168
Medicare’s share: $40,27786% of the payment
Average billed charge: $226,646
Hospitals reporting: 68014,959 stays

Hospitals in Pennsylvania

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Year of care

Average payment across these 30 hospitals: $49,864National $47,051 · Pennsylvania $49,864
Median hospital: $43,138
Lowest to highest: $28,372–$96,365
Medicare stays: 647

30 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Extensive O.R. procedures unrelated to principal diagnosis with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Doylestown HospitalDoylestown, PA · CCN 390203	16	$28,372	40% below the national average	$27,734	$125,929
Paoli HospitalPaoli, PA · CCN 390153	17	$29,481	37% below the national average	$28,788	$208,749
Penn Highlands DuboisDubois, PA · CCN 390086	11	$31,559	33% below the national average	$28,979	$101,511
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	16	$34,262	27% below the national average	$28,826	$149,865
Lancaster General HospitalLancaster, PA · CCN 390100	38	$35,564	24% below the national average	$33,670	$152,814
St Mary Medical CenterLanghorne, PA · CCN 390258	18	$36,949	21% below the national average	$35,425	$132,373
Chester County HospitalWest Chester, PA · CCN 390179	13	$36,971	21% below the national average	$27,301	$126,849
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	20	$37,815	20% below the national average	$35,479	$158,539
St Lukes HospitalBethlehem, PA · CCN 390049	26	$38,651	18% below the national average	$36,375	$280,479
Jefferson Abington HospitalAbington, PA · CCN 390231	35	$39,099	17% below the national average	$34,938	$157,784
Forbes HospitalMonroeville, PA · CCN 390267	12	$40,378	14% below the national average	$37,351	$177,676
UPMC HamotErie, PA · CCN 390063	22	$40,487	14% below the national average	$34,387	$311,510
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	15	$40,522	14% below the national average	$35,526	$158,380
Reading HospitalWest Reading, PA · CCN 390044	24	$41,228	12% below the national average	$39,174	$191,064
Main Line Hospital LankenauWynnewood, PA · CCN 390195	14	$41,990	11% below the national average	$38,520	$300,564
Robert Packer HospitalSayre, PA · CCN 390079	13	$44,286	About average	$34,919	$128,125
Saint Vincent HospitalErie, PA · CCN 390009	18	$44,776	About average	$38,391	$220,535
Lehigh Valley HospitalAllentown, PA · CCN 390133	49	$45,420	About average	$37,809	$340,748
Wellspan York HospitalYork, PA · CCN 390046	20	$45,962	About average	$34,613	$169,611
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	11	$47,823	About average	$27,803	$192,763
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	16	$51,157	About average	$47,450	$300,151
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	42	$51,581	About average	$42,677	$508,555
Geisinger Medical CenterDanville, PA · CCN 390006	26	$51,595	About average	$35,155	$297,845
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	13	$55,827	19% above the national average	$52,644	$447,019
Temple University HospitalPhiladelphia, PA · CCN 390027	21	$59,782	27% above the national average	$53,012	$496,511
Allegheny General HospitalPittsburgh, PA · CCN 390050	14	$67,923	44% above the national average	$56,094	$368,484
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	35	$74,524	58% above the national average	$58,080	$347,464
Milton S Hershey Medical CenterHershey, PA · CCN 390256	21	$77,247	64% above the national average	$47,096	$281,550
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	18	$83,478	77% above the national average	$67,849	$324,786
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	33	$96,365	105% above the national average	$77,451	$737,253

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 19,469 stays at 826 hospitals · 2021: 17,914 stays at 791 hospitals · 2022: 16,029 stays at 735 hospitals · 2023: 15,028 stays at 692 hospitals · 2024: 14,959 stays at 680 hospitals

View data as a table

National average payment and billed charge for Extensive O.R. procedures unrelated to principal diagnosis with MCC
Year of care	Average payment	Average billed charge
2020	$40K	$178K
2021	$43K	$186K
2022	$46K	$204K
2023	$45K	$209K
2024	$47K	$227K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 51 states

Average payment by state for Extensive O.R. procedures unrelated to principal diagnosis with MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Mississippi	10	206	$30,485	$27,859–$31,758
Arkansas	11	202	$32,494	$28,982–$36,679
Oklahoma	8	248	$34,773	$31,652–$37,698
Tennessee	17	360	$35,718	$28,780–$37,312
Montana	2	34	$35,895	$34,679–$36,332
North Dakota	3	58	$36,257	$32,728–$37,988
South Carolina	10	205	$36,276	$29,260–$38,579
Kentucky	13	256	$36,347	$30,137–$43,576
Indiana	17	342	$36,641	$32,818–$35,980
Idaho	4	66	$37,486	$35,555–$39,551
Vermont	1	22	$37,544	$37,544–$37,544
West Virginia	6	127	$38,228	$30,801–$41,477
Alabama	11	252	$38,247	$29,877–$33,078
Florida	47	1,137	$38,790	$32,101–$43,057
Iowa	7	147	$39,562	$33,503–$43,628
Louisiana	7	122	$39,834	$34,533–$42,153
Texas	47	962	$40,126	$32,222–$45,579
Colorado	6	82	$40,903	$33,670–$43,159
Utah	5	109	$40,918	$31,668–$37,829
Nevada	8	194	$41,352	$38,179–$43,766
South Dakota	3	105	$42,026	$40,021–$43,007
Virginia	21	442	$42,032	$33,946–$44,566
Michigan	25	432	$42,161	$37,557–$43,309
Missouri	15	259	$42,510	$31,925–$45,741
Ohio	19	415	$42,631	$34,100–$45,496
Maine	2	50	$42,712	$39,471–$42,648
Kansas	4	99	$43,021	$33,921–$40,749
Georgia	16	303	$44,053	$36,012–$49,469
North Carolina	20	501	$44,430	$35,665–$47,877
Wyoming	1	11	$45,050	$45,050–$45,050
Nebraska	5	114	$45,351	$31,230–$46,701
New Mexico	3	41	$45,999	$40,444–$57,518
New Jersey	29	680	$47,085	$38,393–$50,334
Hawaii	1	38	$47,191	$47,191–$47,191
Arizona	16	279	$47,277	$36,153–$52,874
Illinois	33	759	$47,326	$36,162–$46,101
Delaware	3	80	$48,939	$39,247–$48,202
Washington	15	259	$49,578	$39,633–$51,325
Minnesota	12	314	$49,742	$36,934–$46,990
Pennsylvania	30	647	$49,864	$38,024–$51,592
Oregon	6	164	$51,381	$46,523–$56,190
Wisconsin	5	141	$53,997	$42,868–$56,293
Connecticut	6	159	$54,430	$45,587–$53,161
Alaska	2	37	$57,637	$57,397–$59,940
New Hampshire	2	41	$57,765	$46,155–$58,848
Massachusetts	19	512	$57,989	$40,632–$63,496
District of Columbia	3	83	$59,819	$58,327–$71,179
New York	39	1,191	$60,614	$43,584–$64,472
Rhode Island	1	19	$62,024	$62,024–$62,024
California	65	1,312	$62,446	$45,289–$66,867
Maryland	19	341	$69,594	$44,097–$64,477

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.