Healthcare Pricing Data: LANCASTER, PA

2 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

With CMS data

Procedures

DRG categories

Avg Charge-to-Medicare Ratio

6.6x

Across all procedures

vs National Average

-31%

Chargemaster rates

About This Data

LANCASTER, PA has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 6.6x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in LANCASTER is COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC (DRG 454), with an average chargemaster rate of $203,137 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

Procedure	DRG	Avg Listed Charge	Hospitals Reporting	Charge-to-Medicare Ratio
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC	454	$203,137	2	5.6x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	460	$166,123	2	7.6x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	247	$108,093	2	9.7x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$76,025	2	6.3x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	871	$66,986	2	5.8x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	280	$54,160	2	6.5x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	698	$50,627	2	5.4x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	177	$50,569	2	4.9x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	661	$49,196	2	9.7x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC	193	$47,494	2	6.3x
PULMONARY EDEMA AND RESPIRATORY FAILURE	189	$46,126	2	6.7x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	689	$43,545	2	6.2x
GASTROINTESTINAL HEMORRHAGE WITH CC	378	$41,966	2	7.6x
HEART FAILURE AND SHOCK WITH MCC	291	$40,048	2	5.6x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	308	$39,341	2	5.9x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	699	$36,554	2	6.2x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	092	$36,528	2	7.2x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$35,037	2	6.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$32,413	2	6.2x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	178	$32,122	2	5.3x
MEDICAL BACK PROBLEMS WITHOUT MCC	552	$31,398	2	6.4x
SYNCOPE AND COLLAPSE	312	$30,982	2	6.9x
SIMPLE PNEUMONIA AND PLEURISY WITH CC	194	$30,817	2	7.0x
DIABETES WITH CC	638	$30,539	2	6.3x
CELLULITIS WITHOUT MCC	603	$29,421	2	6.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	309	$28,956	2	7.7x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	690	$28,279	2	7.0x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	392	$27,164	2	7.0x
RENAL FAILURE WITH CC	683	$27,035	2	5.6x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	641	$25,051	2	6.4x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

Hospitals in LANCASTER With Pricing Data

LANCASTER GENERAL HOSPITAL

174 procedures with pricing data

PENN STATE HEALTH LANCASTER MEDICAL CENTER

30 procedures with pricing data

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error