MILTON S HERSHEY MEDICAL CENTER
HERSHEY, PA 17033 · Acute Care Hospitals
134 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
134
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.4x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
2%
Compared to PA hospitals
Understanding Your Costs
When you receive a bill from MILTON S HERSHEY MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, MILTON S HERSHEY MEDICAL CENTER lists chargemaster rates that average 5.4x the corresponding Medicare reimbursement amount across 134 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 5.4x, this facility’s average ratio is above 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 MILTON S HERSHEY MEDICAL CENTER is RED BLOOD CELL DISORDERS WITHOUT MCC (DRG 812). The listed chargemaster rate is $76,242, while Medicare reimburses $8,261 for the same procedure — a ratio of 9.2x (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.
3 of 134 procedures (2%) at this facility have listed rates above the 90th percentile compared to other PA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
MILTON S HERSHEY MEDICAL CENTER 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
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.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $76,242 | $8,261 | 9.2x | 1th | Compare your bill |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $131,652 | $15,760 | 8.3x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $144,751 | $17,468 | 8.3x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $108,539 | $13,431 | 8.1x | 1th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $177,265 | $24,332 | 7.3x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $236,032 | $32,492 | 7.3x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $76,167 | $10,527 | 7.2x | 1th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $69,302 | $9,596 | 7.2x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $113,166 | $15,874 | 7.1x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $157,051 | $22,100 | 7.1x | 1th | Compare your bill |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $94,894 | $13,454 | 7.0x | 1th | Compare your bill |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $70,517 | $10,148 | 7.0x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $117,230 | $16,901 | 6.9x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $49,984 | $7,228 | 6.9x | 1th | Compare your bill |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $66,340 | $9,738 | 6.8x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $85,461 | $12,567 | 6.8x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $54,641 | $8,051 | 6.8x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $89,033 | $13,250 | 6.7x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH CC | 292 | $49,105 | $7,323 | 6.7x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $63,863 | $9,661 | 6.6x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $56,944 | $8,612 | 6.6x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $226,478 | $34,622 | 6.5x | 1th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $46,822 | $7,213 | 6.5x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $42,030 | $6,490 | 6.5x | 1th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $40,071 | $6,278 | 6.4x | 1th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $38,849 | $6,140 | 6.3x | 0th | Compare your bill |
| SYNCOPE AND COLLAPSE | 312 | $47,156 | $7,489 | 6.3x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $111,313 | $17,655 | 6.3x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $98,835 | $15,766 | 6.3x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $51,550 | $8,241 | 6.3x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $38,297 | $6,128 | 6.3x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITH CC | 472 | $174,055 | $28,021 | 6.2x | 1th | Compare your bill |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $104,024 | $16,885 | 6.2x | 1th | Compare your bill |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR | 041 | $125,985 | $20,712 | 6.1x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $60,808 | $10,011 | 6.1x | 1th | Compare your bill |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $209,351 | $34,591 | 6.0x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $95,644 | $15,903 | 6.0x | 1th | Compare your bill |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $105,135 | $17,556 | 6.0x | 1th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $169,048 | $28,298 | 6.0x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $25,687 | $4,324 | 5.9x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $91,875 | $15,516 | 5.9x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $251,036 | $42,547 | 5.9x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $48,694 | $8,258 | 5.9x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $85,500 | $14,505 | 5.9x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $36,728 | $6,238 | 5.9x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $72,722 | $12,417 | 5.9x | 1th | Compare your bill |
| RENAL FAILURE WITH MCC | 682 | $93,287 | $15,916 | 5.9x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $51,526 | $8,888 | 5.8x | 1th | Compare your bill |
| CELLULITIS WITHOUT MCC | 603 | $42,890 | $7,403 | 5.8x | 1th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $132,817 | $23,226 | 5.7x | 1th | Compare your bill |
Showing 50 of 134 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
128 hospitals in PA report pricing data to CMS. This facility's average ratio of 5.4x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: 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.
Frequently Asked Questions About MILTON S HERSHEY MEDICAL CENTER
How much does MILTON S HERSHEY MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, MILTON S HERSHEY MEDICAL CENTER's listed chargemaster rates average 5.4x the Medicare reimbursement amount across 134 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 MILTON S HERSHEY MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at MILTON S HERSHEY MEDICAL CENTER is RED BLOOD CELL DISORDERS WITHOUT MCC (DRG 812), with a listed charge of $76,242 compared to Medicare reimbursement of $8,261 — a ratio of 9.2x. Source: CMS IPPS Provider Summary.
Is MILTON S HERSHEY MEDICAL CENTER expensive compared to other PA hospitals?
MILTON S HERSHEY MEDICAL CENTER's average chargemaster-to-Medicare ratio is 5.4x. 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 MILTON S HERSHEY MEDICAL CENTER 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 MILTON S HERSHEY MEDICAL CENTER 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 MILTON S HERSHEY MEDICAL CENTER in HERSHEY, PA accept Medicare?
MILTON S HERSHEY MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact MILTON S HERSHEY MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.