Milton S Hershey Medical Center
Milton S Hershey Medical Center in Hershey, PA charges 5.4x the Medicare reimbursement rate on average across 134 analyzed procedures at this nonprofit facility.
Hershey, PA 17033 · Acute Care Hospitals · CMS Rating: 4/5
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
D
High
Avg markup vs Medicare
5.43x
Charge / Medicare rate
Max markup
9.23x
Worst procedure
Procedures analyzed
134
With pricing data
Outlier procedures
2.2%
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 |
|---|---|---|---|---|---|
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $76,242 | $38,121 | — | 9.2x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $131,652 | $65,826 | — | 8.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $144,751 | $72,376 | — | 8.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $108,539 | $54,269 | — | 8.1x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $177,265 | $88,632 | — | 7.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $236,032 | $118,016 | — | 7.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $76,167 | $38,083 | — | 7.2x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $69,302 | $34,651 | — | 7.2x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $113,166 | $56,583 | — | 7.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $157,051 | $78,525 | — | 7.1x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $94,894 | $47,447 | — | 7.1x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $70,517 | $35,259 | — | 7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $117,230 | $58,615 | — | 6.9x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $49,984 | $24,992 | — | 6.9x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $66,340 | $33,170 | — | 6.8x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $85,461 | $42,731 | — | 6.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $54,641 | $27,320 | — | 6.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $89,033 | $44,516 | — | 6.7x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $49,105 | $24,553 | — | 6.7x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $56,944 | $28,472 | — | 6.6x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $63,863 | $31,932 | — | 6.6x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $226,478 | $113,239 | — | 6.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $46,822 | $23,411 | — | 6.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $42,030 | $21,015 | — | 6.5x |
| HYPERTENSION WITHOUT MCC | 305 | $40,071 | $20,035 | — | 6.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $38,849 | $19,425 | — | 6.3x |
| SYNCOPE AND COLLAPSE | 312 | $47,156 | $23,578 | — | 6.3x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $111,313 | $55,656 | — | 6.3x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $98,835 | $49,417 | — | 6.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $51,550 | $25,775 | — | 6.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $38,297 | $19,149 | — | 6.3x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $174,055 | $87,028 | — | 6.2x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $104,024 | $52,012 | — | 6.2x |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR | 041 | $125,985 | $62,993 | — | 6.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $60,808 | $30,404 | — | 6.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $209,351 | $104,675 | — | 6.1x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $95,644 | $47,822 | — | 6x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $105,135 | $52,568 | — | 6x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $169,048 | $84,524 | — | 6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $25,687 | $12,844 | — | 5.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $91,875 | $45,937 | — | 5.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $48,694 | $24,347 | — | 5.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $251,036 | $125,518 | — | 5.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $85,500 | $42,750 | — | 5.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $36,728 | $18,364 | — | 5.9x |
| RENAL FAILURE WITH MCC | 682 | $93,287 | $46,644 | — | 5.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $72,722 | $36,361 | — | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $51,526 | $25,763 | — | 5.8x |
| CELLULITIS WITHOUT MCC | 603 | $42,890 | $21,445 | — | 5.8x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $132,817 | $66,409 | — | 5.7x |
Showing 50 of 134 procedures
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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