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DOYLESTOWN HOSPITAL

DOYLESTOWN, PA 18901 · Acute Care Hospitals

116 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

116

With CMS pricing data

Avg Charge-to-Medicare Ratio

4.6x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to PA hospitals

Understanding Your Costs

When you receive a bill from DOYLESTOWN HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, DOYLESTOWN HOSPITAL lists chargemaster rates that average 4.6x the corresponding Medicare reimbursement amount across 116 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in PA has a chargemaster-to-Medicare ratio of 5.3x, with ratios across the state ranging from 1.1x to 13.8x. At 4.6x, this facility’s average ratio is below the state median. 128 hospitals in PA report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at DOYLESTOWN HOSPITAL is CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC (DRG 310). The listed chargemaster rate is $20,217, while Medicare reimburses $2,489 for the same procedure — a ratio of 8.1x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

DOYLESTOWN HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$20,217$2,4898.1x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$92,135$11,7817.8x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$84,456$10,8347.8x
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KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC661$34,231$4,6607.3x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$36,775$5,2087.1x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$131,517$18,9886.9x
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$59,085$8,6676.8x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$23,300$3,4276.8x
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$41,673$6,2706.7x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC244$79,359$12,0286.6x
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DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$31,993$4,8686.6x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$109,608$17,4636.3x
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ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$22,203$3,5416.3x
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ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT062$75,076$12,2006.2x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$38,921$6,4126.1x
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GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$15,850$2,6126.1x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC191$29,274$4,8306.1x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$89,871$15,0456.0x
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$208,249$34,9066.0x
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PULMONARY EMBOLISM WITHOUT MCC176$26,662$4,4846.0x
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DISORDERS OF THE BILIARY TRACT WITH CC445$38,419$6,4825.9x
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AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$165,009$29,3455.6x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$52,131$9,4165.5x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$21,936$3,9915.5x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$55,884$10,2055.5x
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HEART FAILURE AND SHOCK WITH CC292$26,012$4,8175.4x
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SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC195$15,643$2,9035.4x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$28,791$5,3825.3x
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$40,718$7,6585.3x
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SIMPLE PNEUMONIA AND PLEURISY WITH CC194$24,120$4,6005.2x
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DIGESTIVE MALIGNANCY WITH MCC374$64,828$12,5385.2x
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DIGESTIVE MALIGNANCY WITH CC375$37,151$7,1855.2x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$50,220$9,8215.1x
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OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$27,897$5,4585.1x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$78,674$15,4475.1x
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RENAL FAILURE WITH CC683$25,571$5,0735.0x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$32,432$6,4545.0x
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MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$77,948$15,6015.0x
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$223,684$45,3004.9x
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KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$41,879$8,5184.9x
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PLEURAL EFFUSION WITH MCC186$42,258$8,6054.9x
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SYNCOPE AND COLLAPSE312$24,988$5,1094.9x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$27,599$5,6794.9x
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$102,643$21,5814.8x
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OTHER VASCULAR PROCEDURES WITH CC253$79,626$16,7314.8x
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DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC438$51,753$10,9514.7x
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COMPLICATIONS OF TREATMENT WITH CC920$30,793$6,5864.7x
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BRONCHITIS AND ASTHMA WITH CC/MCC202$24,356$5,2224.7x
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LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$64,745$13,9434.6x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$33,771$7,3714.6x
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Showing 50 of 116 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across PA hospitals

1.1x
Median: 5.3x
13.8x
4.6x

128 hospitals in PA report pricing data to CMS. This facility's average ratio of 4.6x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About DOYLESTOWN HOSPITAL

How much does DOYLESTOWN HOSPITAL charge compared to Medicare?

According to CMS IPPS data, DOYLESTOWN HOSPITAL's listed chargemaster rates average 4.6x the Medicare reimbursement amount across 116 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at DOYLESTOWN HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at DOYLESTOWN HOSPITAL is CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC (DRG 310), with a listed charge of $20,217 compared to Medicare reimbursement of $2,489 — a ratio of 8.1x. Source: CMS IPPS Provider Summary.

Is DOYLESTOWN HOSPITAL expensive compared to other PA hospitals?

DOYLESTOWN HOSPITAL's average chargemaster-to-Medicare ratio is 4.6x. Ratios vary significantly across PA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for DOYLESTOWN HOSPITAL come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from DOYLESTOWN HOSPITAL is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does DOYLESTOWN HOSPITAL in DOYLESTOWN, PA accept Medicare?

DOYLESTOWN HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact DOYLESTOWN HOSPITAL directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.