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

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

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MS-DRG 291

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$12,0711.4×42026-03-06
Upmc St Margaret Pittsburgh$17,5822.0×12026-03-06
Upmc East Monroeville$17,8202.0×12026-03-06
Upmc Mercy Pittsburgh$18,0792.0×12026-03-06
Jefferson Abington Hospital Abington$20,1992.3×62026-09-15
Upmc Passavant Pittsburgh$20,7562.3×12026-03-07
Jefferson Einstein Montgomery Hospital East Norriton$20,9182.4×52026-09-15
Paoli Hospital Paoli$22,3622.5×42026-04-01
Riddle Memorial Hospital Media$22,6892.4×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$23,1012.6×12026-03-06
Bryn Mawr Hospital Bryn Mawr$24,3962.6×42026-04-01
Temple University Hospital Philadelphia$25,2692.7×72026-04-13
Lehigh Valley Hospital Allentown$25,3982.7×52026-07-01
Jefferson Health-Northeast Philadelphia$26,1822.8×52026-09-15
Magee Womens Hospital Of Upmc Health System Pittsburgh$27,4973.1×12026-03-06
Lankenau Medical Center Wynnewood$29,6793.3×42026-04-01
Thomas Jefferson University Hospital Philadelphia$31,4643.4×52026-09-15

MS-DRG 292

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$15,0782.4×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$15,7642.7×12026-03-06
Bryn Mawr Hospital Bryn Mawr$16,1342.6×42026-04-01
Lehigh Valley Hospital Allentown$17,3322.8×52026-07-01
Thomas Jefferson University Hospital Philadelphia$20,8083.4×52026-09-15

MS-DRG 293

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$9,9862.4×42026-04-01
Bryn Mawr Hospital Bryn Mawr$10,7562.6×42026-04-01
Lehigh Valley Hospital Allentown$11,8752.9×52026-07-01
Thomas Jefferson University Hospital Philadelphia$13,8723.4×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$14,1003.6×12026-03-06

Questions

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

17 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 17 hospitals is $22,689, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.