Pottstown Hospital
POTTSTOWN HOSPITAL in Pottstown, PA charges 9.0x the Medicare reimbursement rate on average across 48 analyzed procedures at this nonprofit-private facility.
Pottstown, PA 19464 · Acute Care Hospitals · CMS Rating: 2/5
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
9.01x
Charge / Medicare rate
Max markup
16.26x
Worst procedure
Procedures analyzed
48
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| DYSEQUILIBRIUM | 149 | $61,426 | $30,713 | — | 16.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $48,071 | $24,035 | — | 11.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $52,401 | $26,200 | — | 11.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $48,800 | $24,400 | — | 11x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $66,308 | $33,154 | — | 10.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $67,569 | $33,785 | — | 10.9x |
| DIABETES WITH CC | 638 | $51,860 | $25,930 | — | 10.8x |
| SYNCOPE AND COLLAPSE | 312 | $55,391 | $27,696 | — | 10.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $49,019 | $24,510 | — | 10.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $38,839 | $19,420 | — | 10.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $83,929 | $41,965 | — | 10.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $43,955 | $21,978 | — | 10.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $57,019 | $28,509 | — | 10.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $65,458 | $32,729 | — | 10.1x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $40,106 | $20,053 | — | 10x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $82,801 | $41,401 | — | 9.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $76,618 | $38,309 | — | 9.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $43,516 | $21,758 | — | 9.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $56,927 | $28,463 | — | 9.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $51,313 | $25,657 | — | 9.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $79,882 | $39,941 | — | 9.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $52,599 | $26,300 | — | 9.1x |
| SEIZURES WITHOUT MCC | 101 | $47,188 | $23,594 | — | 8.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $55,410 | $27,705 | — | 8.8x |
| CELLULITIS WITHOUT MCC | 603 | $42,523 | $21,261 | — | 8.8x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $41,886 | $20,943 | — | 8.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $108,290 | $54,145 | — | 8.8x |
| RENAL FAILURE WITH CC | 683 | $47,031 | $23,516 | — | 8.7x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $48,900 | $24,450 | — | 8.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $66,771 | $33,385 | — | 8.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $95,960 | $47,980 | — | 8.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $44,065 | $22,032 | — | 8.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $66,757 | $33,379 | — | 8.1x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $48,273 | $24,136 | — | 8.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $55,722 | $27,861 | — | 8.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $62,546 | $31,273 | — | 8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $89,459 | $44,730 | — | 7.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $77,714 | $38,857 | — | 7.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $72,893 | $36,447 | — | 7.1x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $71,715 | $35,857 | — | 7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $51,305 | $25,652 | — | 6.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $229,424 | $114,712 | — | 6.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $79,924 | $39,962 | — | 6.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $79,409 | $39,704 | — | 6.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $85,119 | $42,559 | — | 6.5x |
| RENAL FAILURE WITH MCC | 682 | $61,300 | $30,650 | — | 6.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $96,297 | $48,149 | — | 6.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $37,892 | $18,946 | — | 6.3x |
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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