Pennsylvania Hospital
Pennsylvania Hospital in Philadelphia charges 8.5x the Medicare reimbursement rate across 67 analyzed procedures, with 39% showing significant pricing variations from typical healthcare benchmarks.
Philadelphia, PA 19107 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.48x
Charge / Medicare rate
Max markup
14.31x
Worst procedure
Procedures analyzed
67
With pricing data
Outlier procedures
38.8%
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $114,549 | $57,274 | — | 14.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $123,425 | $61,712 | — | 14.1x |
| DIABETES WITH MCC | 637 | $183,140 | $91,570 | — | 12.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $91,603 | $45,802 | — | 12.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $210,749 | $105,375 | — | 12.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $73,494 | $36,747 | — | 12.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $90,601 | $45,300 | — | 12.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $70,757 | $35,379 | — | 11.7x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $82,668 | $41,334 | — | 11.5x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $228,075 | $114,037 | — | 11.4x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $90,327 | $45,164 | — | 11.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $95,559 | $47,780 | — | 11.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $69,708 | $34,854 | — | 11x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $139,043 | $69,521 | — | 10.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $75,366 | $37,683 | — | 10.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $93,980 | $46,990 | — | 10.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $69,540 | $34,770 | — | 10.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $105,224 | $52,612 | — | 9.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $60,529 | $30,265 | — | 9.6x |
| SYNCOPE AND COLLAPSE | 312 | $71,616 | $35,808 | — | 9.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $88,522 | $44,261 | — | 9.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $75,457 | $37,728 | — | 9.3x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $188,456 | $94,228 | — | 9.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $116,087 | $58,044 | — | 9.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $155,956 | $77,978 | — | 9.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $103,901 | $51,951 | — | 9.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $180,635 | $90,318 | — | 9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $108,430 | $54,215 | — | 8.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $146,214 | $73,107 | — | 8.9x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $104,830 | $52,415 | — | 8.6x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $190,107 | $95,054 | — | 8.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $165,659 | $82,830 | — | 8.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $123,484 | $61,742 | — | 8.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $90,208 | $45,104 | — | 8.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $94,242 | $47,121 | — | 8.5x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $85,441 | $42,720 | — | 8.5x |
| RENAL FAILURE WITH CC | 683 | $62,001 | $31,000 | — | 8.4x |
| RENAL FAILURE WITH MCC | 682 | $102,745 | $51,373 | — | 8.3x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $238,960 | $119,480 | — | 8.2x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $89,502 | $44,751 | — | 8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $59,899 | $29,949 | — | 7.9x |
| CELLULITIS WITHOUT MCC | 603 | $51,283 | $25,642 | — | 7.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $246,137 | $123,068 | — | 7.8x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $130,878 | $65,439 | — | 7.7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $86,160 | $43,080 | — | 7.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $70,012 | $35,006 | — | 7.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $309,613 | $154,806 | — | 7x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $225,905 | $112,952 | — | 6.6x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $111,914 | $55,957 | — | 6.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $95,253 | $47,626 | — | 6.6x |
Showing 50 of 67 procedures
How PENNSYLVANIA HOSPITAL 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