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Heart failure (hospital stay) in Pennsylvania: what insurers pay

Posted commercial rates at 78 Pennsylvania hospitals, each next to its own Medicare base rate.

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MS-DRG 291

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$8,8841.0×32026-08-06
Conemaugh Miners Medical Center Hastings$9,8261.1×52026-07-30
Geisinger-Bloomsburg Hospital Bloomsburg$10,3261.2×72026-07-01
Punxsutawney Area Hospital Punxsutawney$10,6491.2×72026-03-02
Troy Community Hospital Troy$10,8281.2×32026-03-31
Upmc Horizon Greenville$10,8911.2×32026-03-06
Upmc Cole Coudersport$10,9871.2×32026-03-06
Conemaugh Nason Medical Center Roaring Spring$11,2651.3×72026-07-30
Upmc Jameson New Castle$11,3611.3×32026-03-06
Upmc Somerset Somerset$11,6121.3×52026-03-06
Upmc Northwest Seneca$12,1081.4×22026-03-06
Upmc Washington Washington$12,4881.4×72026-03-06
Upmc Bedford Memorial Everett$12,5541.4×22026-03-06
Titusville Area Hospital Titusville$13,0381.5×52026-09-11
Upmc Hamot Erie$13,1581.5×32026-03-06
Upmc Kane Kane$13,8481.6×32026-03-06
Upmc East Monroeville$14,7161.7×22026-03-06
Uniontown Hospital Uniontown$14,9161.7×62026-07-09
Upmc Mckeesport Mc Keesport$14,9411.7×22026-03-06
Wayne Memorial Hospital Honesdale$15,1341.7×62026-09-16
Upmc St Margaret Pittsburgh$15,4031.7×22026-03-06
Upmc Mercy Pittsburgh$15,9901.8×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$16,0481.7×82026-04-08
Upmc Passavant Pittsburgh$16,3381.8×22026-03-07
Roxborough Memorial Hospital Philadelphia$16,3521.7×62024-06-21
Conemaugh Memorial Medical Center Johnstown$16,4021.9×82026-04-15
Upmc Altoona Altoona$16,6491.9×52026-03-06
Lower Bucks Hospital Bristol$16,6561.9×62026-09-01
St Clair Hospital Pittsburgh$16,9851.9×62026-03-31
Holy Redeemer Hospital And Medical Center Meadowbrook$17,0581.9×62026-09-21
Geisinger-Lewistown Hospital Lewistown$17,5362.0×72026-07-01
Robert Packer Hospital Sayre$17,9632.0×92026-03-31
Wellspan Waynesboro Hospital Waynesboro$19,2262.1×32026-01-01
Jefferson Lansdale Hospital Lansdale$19,2562.2×92026-09-15
Upmc Presbyterian Shadyside Pittsburgh$19,2762.2×22026-03-06
Upmc Muncy Muncy$19,3712.2×32026-03-06
Upmc Wellsboro Wellsboro$19,3712.2×32026-03-06
Upmc Williamsport Williamsport$19,4002.2×32026-03-06
St Luke'S Hospital - Upper Bucks Campus Quakertown$19,4352.2×52026-02-26
St Luke'S Miners Memorial Hospital Coaldale$19,4352.2×52026-02-27
Wellspan Evangelical Community Hospital Lewisburg$19,6002.2×72026-01-01
St Luke'S Hospital Bethlehem Bethlehem$19,7552.1×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$19,7552.1×52026-02-27
St Mary Medical Center Langhorne$20,3012.3×202026-03-31
Geisinger St. Luke'S Hospital Orwigsburg$20,3922.3×42026-02-26
Magee Womens Hospital Of Upmc Health System Pittsburgh$20,5232.3×22026-03-06
Wellspan Good Samaritan Hospital Lebanon$20,6022.2×52026-01-01
St Luke'S Hospital - Monroe Campus Stroudsburg$21,1902.4×52026-02-27
Jefferson Abington Hospital Abington$21,2692.4×92026-09-15
Lehigh Valley Hospital - Hazleton Hazleton$21,4822.4×92026-07-01
Lehigh Valley Hospital - Dickson City Dickson City$22,1142.5×92026-07-01
Paoli Hospital Paoli$22,3622.5×42026-04-01
Lehigh Valley Hospital - Macungie Macungie$22,4742.4×102026-07-01
Riddle Memorial Hospital Media$22,6892.4×42026-04-01
Hospital Of The Fox Chase Cancer Center Philadelphia$22,8262.4×52026-04-08
St Luke'S Hospital - Easton Campus Easton$23,2502.5×42026-02-26
Lehigh Valley Hospital - Pocono East Stroudsburg$23,5002.6×92026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$23,5502.6×62026-09-15
Penn State Health Holy Spirit Medical Center Camp Hill$24,1982.6×42026-03-27
Penn State Health St. Joseph Reading$24,1982.6×42026-03-27
Penn State Health Hampden Medical Center Enola$24,1982.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,1982.7×42026-03-27
Nazareth Hospital Philadelphia$24,3342.6×202026-03-31
Upmc Memorial York$24,3452.7×82026-03-06
Bryn Mawr Hospital Bryn Mawr$24,3962.6×42026-04-01
Upmc Lititz Lititz$25,0842.8×72026-03-06
Wilkes-Barre General Hospital Wilkes-Barre$25,1102.8×72026-07-01
Temple University Hospital Philadelphia$25,2692.7×102026-04-13
Lehigh Valley Hospital Allentown$25,3982.7×52026-07-01
Jefferson Health-Northeast Philadelphia$26,4462.8×62026-09-15
Wellspan Chambersburg Hospital Chambersburg$26,6342.9×32026-01-01
Wellspan Ephrata Community Hospital Ephrata$26,9193.0×52026-01-01
Upmc Hanover Hanover$27,1453.0×72026-03-06
Upmc Carlisle Carlisle$27,8413.0×72026-03-06
Geisinger Community Medical Center Scranton$29,5563.3×82026-07-01
Lankenau Medical Center Wynnewood$29,6793.3×42026-04-01
Thomas Jefferson University Hospital Philadelphia$34,1483.6×92026-09-15
Wellspan York Hospital York$36,9434.1×42026-01-01

MS-DRG 292

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$6,3141.1×32026-08-06
Conemaugh Miners Medical Center Hastings$6,5041.1×52026-07-30
Geisinger-Bloomsburg Hospital Bloomsburg$6,5761.1×82026-07-01
Punxsutawney Area Hospital Punxsutawney$7,0421.2×72026-03-02
Upmc Horizon Greenville$7,2021.2×32026-03-06
Upmc Northwest Seneca$7,2081.2×32026-03-06
Upmc Cole Coudersport$7,4981.3×32026-03-06
Upmc Jameson New Castle$7,7221.3×32026-03-06
Upmc Somerset Somerset$7,9321.4×52026-03-06
Conemaugh Nason Medical Center Roaring Spring$7,9761.4×72026-07-30
Upmc Washington Washington$8,2581.4×72026-03-06
Upmc Bedford Memorial Everett$8,4641.4×22026-03-06
Titusville Area Hospital Titusville$8,6051.5×52026-09-11
Upmc Hamot Erie$8,7621.5×32026-03-06
Upmc Kane Kane$9,4501.6×32026-03-06
Upmc East Monroeville$9,9841.7×22026-03-06
Wayne Memorial Hospital Honesdale$10,0081.7×62026-09-16
Upmc Mckeesport Mc Keesport$10,0501.7×22026-03-06
Uniontown Hospital Uniontown$10,0721.7×62026-07-09
Upmc St Margaret Pittsburgh$10,3721.8×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$10,6121.7×82026-04-08
Upmc Mercy Pittsburgh$10,7661.8×22026-03-06
Roxborough Memorial Hospital Philadelphia$10,9091.8×62024-06-21
Upmc Altoona Altoona$11,0101.9×52026-03-06
Lower Bucks Hospital Bristol$11,0151.9×62026-09-01
Upmc Passavant Pittsburgh$11,0231.9×22026-03-07
Conemaugh Memorial Medical Center Johnstown$11,2411.9×82026-04-15
St Clair Hospital Pittsburgh$11,4081.9×62026-03-31
Holy Redeemer Hospital And Medical Center Meadowbrook$11,4581.9×62026-09-21
Robert Packer Hospital Sayre$12,2732.1×82026-03-31
Wellspan Waynesboro Hospital Waynesboro$12,7152.1×32026-01-01
Jefferson Lansdale Hospital Lansdale$12,7352.2×92026-09-15
Upmc Muncy Muncy$12,8102.2×32026-03-06
Upmc Wellsboro Wellsboro$12,8102.2×32026-03-06
St Luke'S Miners Memorial Hospital Coaldale$12,8532.2×52026-02-27
Troy Community Hospital Troy$12,8782.2×22026-03-31
Upmc Presbyterian Shadyside Pittsburgh$12,9912.2×22026-03-06
St Luke'S Hospital - Upper Bucks Campus Quakertown$13,0822.2×52026-02-26
St Luke'S Hospital Bethlehem Bethlehem$13,0822.1×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$13,0822.1×52026-02-27
Upmc Williamsport Williamsport$13,2382.3×32026-03-06
Wellspan Good Samaritan Hospital Lebanon$13,6282.2×52026-01-01
Geisinger St. Luke'S Hospital Orwigsburg$13,6922.3×42026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$14,0132.4×52026-02-27
Magee Womens Hospital Of Upmc Health System Pittsburgh$14,0432.4×22026-03-06
Jefferson Abington Hospital Abington$14,0652.4×92026-09-15
Paoli Hospital Paoli$14,7882.5×42026-04-01
Lehigh Valley Hospital - Macungie Macungie$14,9182.4×102026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$14,9692.5×92026-07-01
Lehigh Valley Hospital - Dickson City Dickson City$14,9692.5×92026-07-01
Riddle Memorial Hospital Media$15,0782.4×42026-04-01
Hospital Of The Fox Chase Cancer Center Philadelphia$15,3722.5×52026-04-08
Lehigh Valley Hospital - Pocono East Stroudsburg$15,5412.6×92026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$15,5742.6×62026-09-15
St Luke'S Hospital - Easton Campus Easton$15,6422.5×42026-02-26
Penn State Health Holy Spirit Medical Center Camp Hill$16,0032.6×42026-03-27
Penn State Health St. Joseph Reading$16,0032.6×42026-03-27
Penn State Health Hampden Medical Center Enola$16,0032.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$16,0032.7×42026-03-27
Bryn Mawr Hospital Bryn Mawr$16,1342.6×42026-04-01
Geisinger-Lewistown Hospital Lewistown$16,3402.8×72026-07-01
Nazareth Hospital Philadelphia$16,5792.7×212026-03-31
Wilkes-Barre General Hospital Wilkes-Barre$16,6062.8×72026-07-01
Upmc Memorial York$16,7802.8×82026-03-06
Upmc Lititz Lititz$17,1492.9×72026-03-06
Temple University Hospital Philadelphia$17,2042.8×102026-04-13
Lehigh Valley Hospital Allentown$17,3322.8×52026-07-01
Jefferson Health-Northeast Philadelphia$17,4892.8×62026-09-15
Wellspan Ephrata Community Hospital Ephrata$17,8023.0×52026-01-01
Upmc Hanover Hanover$17,9513.0×72026-03-06
Wellspan Chambersburg Hospital Chambersburg$18,1753.0×32026-01-01
Upmc Carlisle Carlisle$18,5763.1×72026-03-06
Geisinger Community Medical Center Scranton$19,8183.4×82026-07-01
Lankenau Medical Center Wynnewood$19,8393.4×42026-04-01
Thomas Jefferson University Hospital Philadelphia$22,5833.6×92026-09-15
Wellspan York Hospital York$24,4064.1×42026-01-01

MS-DRG 293

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$4,1191.1×42026-08-06
Conemaugh Miners Medical Center Hastings$4,5601.2×52026-07-30
Upmc Horizon Greenville$4,8011.2×32026-03-06
Upmc Northwest Seneca$4,8051.2×32026-03-06
Geisinger-Bloomsburg Hospital Bloomsburg$5,1861.3×82026-07-01
Conemaugh Nason Medical Center Roaring Spring$5,3181.4×72026-07-30
Upmc Jameson New Castle$5,3541.4×32026-03-06
Titusville Area Hospital Titusville$5,4831.4×52026-09-11
Upmc Cole Coudersport$5,4961.4×32026-03-06
Punxsutawney Area Hospital Punxsutawney$5,8471.5×72026-03-02
Troy Community Hospital Troy$5,8641.5×62026-03-31
Upmc Hamot Erie$5,9001.5×32026-03-06
Upmc Washington Washington$6,1221.6×72026-03-06
Upmc Somerset Somerset$6,3201.6×52026-03-06
Wayne Memorial Hospital Honesdale$6,6721.7×62026-09-16
Upmc Bedford Memorial Everett$6,7141.7×22026-03-06
Upmc Kane Kane$6,7881.7×32026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$7,0751.7×82026-04-08
Roxborough Memorial Hospital Philadelphia$7,1521.7×62024-06-21
Conemaugh Memorial Medical Center Johnstown$7,2101.8×82026-04-15
Upmc Altoona Altoona$7,3401.9×52026-03-06
Lower Bucks Hospital Bristol$7,4381.9×62026-09-01
Holy Redeemer Hospital And Medical Center Meadowbrook$7,6081.9×62026-09-21
Robert Packer Hospital Sayre$7,8292.0×92026-03-31
St Clair Hospital Pittsburgh$7,8342.0×62026-03-31
Uniontown Hospital Uniontown$7,8882.0×62026-07-09
Upmc Mckeesport Mc Keesport$7,9442.0×22026-03-06
Upmc East Monroeville$8,1042.1×22026-03-06
Upmc St Margaret Pittsburgh$8,2812.1×22026-03-06
Wellspan Waynesboro Hospital Waynesboro$8,4762.1×32026-01-01
Jefferson Lansdale Hospital Lansdale$8,4902.2×92026-09-15
Upmc Mercy Pittsburgh$8,5822.2×22026-03-06
Wellspan Evangelical Community Hospital Lewisburg$8,6662.2×72026-01-01
Upmc Passavant Pittsburgh$8,9622.3×22026-03-07
St Luke'S Miners Memorial Hospital Coaldale$9,3422.4×52026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$9,3422.3×52026-02-27
Jefferson Abington Hospital Abington$9,3772.4×92026-09-15
St Luke'S Hospital - Upper Bucks Campus Quakertown$9,4012.4×52026-02-26
St Luke'S Hospital Bethlehem Bethlehem$9,4012.3×52026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$9,4012.4×52026-02-27
Upmc Williamsport Williamsport$9,6592.5×32026-03-06
Upmc Muncy Muncy$9,6592.5×32026-03-06
Upmc Wellsboro Wellsboro$9,6592.5×32026-03-06
Paoli Hospital Paoli$9,8592.5×42026-04-01
Riddle Memorial Hospital Media$9,9862.4×42026-04-01
Lehigh Valley Hospital - Macungie Macungie$10,0362.5×102026-07-01
Hospital Of The Fox Chase Cancer Center Philadelphia$10,0632.4×52026-04-08
Lehigh Valley Hospital - Hazleton Hazleton$10,1562.6×92026-07-01
Lehigh Valley Hospital - Dickson City Dickson City$10,3612.6×92026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$10,3822.6×62026-09-15
Upmc Presbyterian Shadyside Pittsburgh$10,4562.7×22026-03-06
Geisinger St. Luke'S Hospital Orwigsburg$10,6512.7×42026-02-26
Bryn Mawr Hospital Bryn Mawr$10,7562.6×42026-04-01
Wilkes-Barre General Hospital Wilkes-Barre$11,0712.8×72026-07-01
Geisinger-Lewistown Hospital Lewistown$11,2602.9×72026-07-01
Penn State Health Lancaster Medical Center Lancaster$11,4102.9×42026-03-27
Penn State Health St. Joseph Reading$11,4542.8×42026-03-27
Penn State Health Hampden Medical Center Enola$11,4542.8×42026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$11,4772.8×42026-03-27
Magee Womens Hospital Of Upmc Health System Pittsburgh$11,6773.0×22026-03-06
Jefferson Health-Northeast Philadelphia$11,7932.9×62026-09-15
Lehigh Valley Hospital Allentown$11,8752.9×52026-07-01
Upmc Lititz Lititz$11,9683.0×72026-03-06
Upmc Memorial York$12,0483.1×82026-03-06
Upmc Carlisle Carlisle$12,1893.0×72026-03-06
Upmc Hanover Hanover$12,1923.1×72026-03-06
Temple University Hospital Philadelphia$12,3023.0×102026-04-13
Lehigh Valley Hospital - Pocono East Stroudsburg$12,3483.1×92026-07-01
St Luke'S Hospital - Easton Campus Easton$12,3963.0×42026-02-26
Lankenau Medical Center Wynnewood$13,5083.5×42026-04-01
Geisinger Community Medical Center Scranton$14,9943.8×82026-07-01
Thomas Jefferson University Hospital Philadelphia$15,0553.6×92026-09-15
Wellspan Chambersburg Hospital Chambersburg$15,5083.8×32026-01-01
Wellspan York Hospital York$15,9504.1×42026-01-01

Questions

How much do insurers pay for heart failure (hospital stay) in Pennsylvania?

78 Pennsylvania hospitals post usable commercial rates for heart failure (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 291), the median across 78 hospitals is $19,435, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.