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Weight-loss surgery (sleeve) in Pennsylvania: what insurers pay

Posted commercial rates at 17 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 621

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$14,4281.4×42026-03-06
Upmc St Margaret Pittsburgh$21,4012.0×12026-03-06
Upmc East Monroeville$21,6912.1×12026-03-06
Upmc Mercy Pittsburgh$22,0062.1×12026-03-06
Jefferson Abington Hospital Abington$23,7322.3×62026-09-15
Upmc Passavant Pittsburgh$25,2662.4×12026-03-07
Riddle Memorial Hospital Media$26,0382.4×42026-04-01
Paoli Hospital Paoli$26,2282.5×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$28,1192.7×12026-03-06
Bryn Mawr Hospital Bryn Mawr$28,3912.6×42026-04-01
Jefferson Health-Northeast Philadelphia$30,7622.8×52026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$30,7623.0×52026-09-15
Lehigh Valley Hospital Allentown$30,9152.8×52026-07-01
Temple University Hospital Philadelphia$32,7793.0×72026-04-13
Lankenau Medical Center Wynnewood$32,9103.1×42026-04-01
Magee Womens Hospital Of Upmc Health System Pittsburgh$33,4703.2×12026-03-06
Thomas Jefferson University Hospital Philadelphia$36,9693.4×52026-09-15

MS-DRG 620

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$27,9802.4×42026-04-01
Bryn Mawr Hospital Bryn Mawr$30,4122.6×42026-04-01
Lehigh Valley Hospital Allentown$33,5752.9×52026-07-01
Upmc Presbyterian Shadyside Pittsburgh$34,8283.1×12026-03-06
Thomas Jefferson University Hospital Philadelphia$39,2213.4×52026-09-15

MS-DRG 619

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$49,0502.3×42026-04-01
Bryn Mawr Hospital Bryn Mawr$54,8712.6×42026-04-01
Lehigh Valley Hospital Allentown$60,5792.9×52026-07-01
Upmc Presbyterian Shadyside Pittsburgh$63,8203.2×12026-03-06
Thomas Jefferson University Hospital Philadelphia$70,7663.4×52026-09-15

Questions

How much do insurers pay for weight-loss surgery (sleeve) in Pennsylvania?

17 Pennsylvania hospitals post usable commercial rates for weight-loss surgery (sleeve) in their federal price-transparency files. For inpatient stay (MS-DRG 621), the median across 17 hospitals is $28,119, 2.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.