Paoli Hospital
PAOLI HOSPITAL in Paoli, PA charges 9.4x the Medicare reimbursement rate across 123 analyzed procedures, representing a significant markup for this nonprofit-private healthcare facility.
Paoli, PA 19301 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
No credit card required. Results in 60 seconds.
Pricing grade
F
Very high
Avg markup vs Medicare
9.43x
Charge / Medicare rate
Max markup
19.88x
Worst procedure
Procedures analyzed
123
With pricing data
Outlier procedures
4.1%
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 |
|---|---|---|---|---|---|
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $41,582 | $20,791 | — | 19.9x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $82,810 | $41,405 | — | 16.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $45,537 | $22,769 | — | 16.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $36,962 | $18,481 | — | 15.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $52,461 | $26,230 | — | 14.8x |
| DYSEQUILIBRIUM | 149 | $50,165 | $25,083 | — | 14.2x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $81,691 | $40,846 | — | 14x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $55,039 | $27,520 | — | 13.7x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $62,089 | $31,044 | — | 13.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $58,117 | $29,059 | — | 13.4x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $49,708 | $24,854 | — | 13.3x |
| TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | 558 | $50,439 | $25,219 | — | 12.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $59,253 | $29,627 | — | 12.6x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $66,431 | $33,215 | — | 12.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $73,205 | $36,602 | — | 12.5x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $91,773 | $45,887 | — | 12.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $47,948 | $23,974 | — | 12.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $51,874 | $25,937 | — | 12.2x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | 565 | $110,103 | $55,052 | — | 12.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $54,070 | $27,035 | — | 12.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $53,840 | $26,920 | — | 12.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $58,636 | $29,318 | — | 11.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $65,607 | $32,804 | — | 11.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $74,687 | $37,344 | — | 11.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $90,973 | $45,486 | — | 11.4x |
| HYPERTENSION WITHOUT MCC | 305 | $44,505 | $22,253 | — | 11.4x |
| SYNCOPE AND COLLAPSE | 312 | $53,388 | $26,694 | — | 11.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $110,995 | $55,498 | — | 11.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $63,239 | $31,619 | — | 11.2x |
| RENAL FAILURE WITH CC | 683 | $57,600 | $28,800 | — | 11.2x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $94,896 | $47,448 | — | 11.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $61,751 | $30,876 | — | 11.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $48,848 | $24,424 | — | 11x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $104,956 | $52,478 | — | 11x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $51,267 | $25,633 | — | 11x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $146,646 | $73,323 | — | 10.9x |
| PNEUMOTHORAX WITH CC | 200 | $63,015 | $31,508 | — | 10.7x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $104,264 | $52,132 | — | 10.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $79,475 | $39,737 | — | 10.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $46,995 | $23,497 | — | 10.5x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $56,374 | $28,187 | — | 10.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $42,118 | $21,059 | — | 10.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $64,900 | $32,450 | — | 10.4x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $61,174 | $30,587 | — | 10.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $104,858 | $52,429 | — | 10.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $53,770 | $26,885 | — | 10.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $46,077 | $23,038 | — | 10.3x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $92,537 | $46,268 | — | 10.1x |
| RENAL FAILURE WITH MCC | 682 | $100,674 | $50,337 | — | 10.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $77,902 | $38,951 | — | 10x |
Showing 50 of 123 procedures
Got a bill from PAOLI HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Paoli Hospital?
Free guides to help you take action
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