Hospital of Univ of Pennsylvania
Hospital of University of Pennsylvania in Philadelphia charges 9.1x the Medicare reimbursement rate across 208 analyzed procedures, with 72% showing significant price variations.
Philadelphia, PA 19104 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
F
Very high
Avg markup vs Medicare
9.11x
Charge / Medicare rate
Max markup
17.28x
Worst procedure
Procedures analyzed
208
With pricing data
Outlier procedures
72.1%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $184,623 | $92,312 | — | 17.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $128,484 | $64,242 | — | 15.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $93,947 | $46,974 | — | 14.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $135,190 | $67,595 | — | 14.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $413,161 | $206,581 | — | 14.4x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $129,099 | $64,550 | — | 14.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $263,045 | $131,523 | — | 14x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $174,628 | $87,314 | — | 13.8x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $114,524 | $57,262 | — | 13.6x |
| SIGNS AND SYMPTOMS WITH MCC | 947 | $182,195 | $91,097 | — | 13.5x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $155,383 | $77,692 | — | 13.2x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $364,983 | $182,492 | — | 12.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $130,931 | $65,465 | — | 12.8x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $201,726 | $100,863 | — | 12.8x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | 073 | $207,127 | $103,564 | — | 12.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $184,923 | $92,462 | — | 12.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $121,171 | $60,585 | — | 12.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $122,562 | $61,281 | — | 12.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $117,083 | $58,541 | — | 12.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $98,165 | $49,082 | — | 12.4x |
| SYNCOPE AND COLLAPSE | 312 | $107,530 | $53,765 | — | 12.4x |
| NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | 055 | $124,209 | $62,104 | — | 12.3x |
| SEIZURES WITHOUT MCC | 101 | $109,347 | $54,674 | — | 12.2x |
| KIDNEY TRANSPLANT | 652 | $383,858 | $191,929 | — | 12.2x |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $110,044 | $55,022 | — | 12.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $139,869 | $69,935 | — | 12.1x |
| MAJOR HEAD AND NECK PROCEDURES WITH CC | 141 | $226,527 | $113,264 | — | 11.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $142,888 | $71,444 | — | 11.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $230,845 | $115,423 | — | 11.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $227,975 | $113,988 | — | 11.7x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $177,268 | $88,634 | — | 11.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $322,277 | $161,138 | — | 11.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $158,458 | $79,229 | — | 11.5x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $97,418 | $48,709 | — | 11.4x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $193,866 | $96,933 | — | 11.3x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $101,399 | $50,699 | — | 11.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $455,926 | $227,963 | — | 11.3x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $202,106 | $101,053 | — | 11.2x |
| SEIZURES WITH MCC | 100 | $297,805 | $148,903 | — | 11.1x |
| CELLULITIS WITHOUT MCC | 603 | $92,352 | $46,176 | — | 11.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $168,897 | $84,448 | — | 11x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $89,826 | $44,913 | — | 11x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $282,273 | $141,137 | — | 10.9x |
| UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | 742 | $188,227 | $94,113 | — | 10.9x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $122,692 | $61,346 | — | 10.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $140,650 | $70,325 | — | 10.8x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $279,746 | $139,873 | — | 10.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $116,948 | $58,474 | — | 10.8x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $91,581 | $45,791 | — | 10.8x |
| DIABETES WITH MCC | 637 | $168,929 | $84,464 | — | 10.7x |
Showing 50 of 208 procedures
How HOSPITAL OF UNIV OF PENNSYLVANIA compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use