Penn Presbyterian Medical Center
Penn Presbyterian Medical Center in Philadelphia charges 7.7x the Medicare reimbursement rate on average, with 25% of its 104 analyzed procedures showing significant price variations.
Philadelphia, PA 19104 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
7.68x
Charge / Medicare rate
Max markup
11.83x
Worst procedure
Procedures analyzed
104
With pricing data
Outlier procedures
25%
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 |
|---|---|---|---|---|---|
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $134,503 | $67,251 | — | 11.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $98,801 | $49,401 | — | 11.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $111,322 | $55,661 | — | 11.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $206,612 | $103,306 | — | 11.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $60,795 | $30,398 | — | 11.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $84,271 | $42,135 | — | 10.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $94,308 | $47,154 | — | 10.6x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | 355 | $112,596 | $56,298 | — | 10.1x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | 857 | $204,019 | $102,010 | — | 9.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $282,364 | $141,182 | — | 9.8x |
| SEIZURES WITH MCC | 100 | $194,903 | $97,451 | — | 9.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $143,882 | $71,941 | — | 9.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $96,949 | $48,474 | — | 9.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $70,099 | $35,050 | — | 9.4x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $85,213 | $42,606 | — | 9.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $235,474 | $117,737 | — | 9.2x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $132,527 | $66,263 | — | 9.1x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $112,690 | $56,345 | — | 9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $58,035 | $29,017 | — | 9x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $146,687 | $73,344 | — | 8.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $75,090 | $37,545 | — | 8.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $71,807 | $35,904 | — | 8.8x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $68,099 | $34,050 | — | 8.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $115,314 | $57,657 | — | 8.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $164,420 | $82,210 | — | 8.7x |
| RENAL FAILURE WITH CC | 683 | $69,995 | $34,997 | — | 8.6x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $149,493 | $74,746 | — | 8.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $122,572 | $61,286 | — | 8.6x |
| DIABETES WITH MCC | 637 | $112,643 | $56,322 | — | 8.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $38,458 | $19,229 | — | 8.4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $71,165 | $35,583 | — | 8.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $74,935 | $37,467 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $199,270 | $99,635 | — | 8.3x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $143,672 | $71,836 | — | 8.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $66,351 | $33,175 | — | 8.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $149,218 | $74,609 | — | 8.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $98,424 | $49,212 | — | 8.2x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $89,673 | $44,836 | — | 8.1x |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 464 | $228,265 | $114,133 | — | 8.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $146,307 | $73,153 | — | 7.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $161,399 | $80,700 | — | 7.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $115,432 | $57,716 | — | 7.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $71,026 | $35,513 | — | 7.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $107,143 | $53,572 | — | 7.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $122,008 | $61,004 | — | 7.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $53,290 | $26,645 | — | 7.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $331,368 | $165,684 | — | 7.7x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $56,158 | $28,079 | — | 7.7x |
| CONNECTIVE TISSUE DISORDERS WITH CC | 546 | $77,129 | $38,565 | — | 7.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $161,797 | $80,899 | — | 7.6x |
Showing 50 of 104 procedures
How PENN PRESBYTERIAN MEDICAL CENTER 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