Pennsylvania / Chester County Hospital
CMS certification 390179 · West Chester, PA · 1 entry in CMS's price-transparency list
Chester County Hospital: charges and Medicare payments
Chester County Hospital reported 4,611 Medicare inpatient stays across 119 DRGs in 2024. Across them it charged 5.03 times what it was paid — mid-range in Pennsylvania, number 44 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 349 stays at an average charge of $69,570, 23% below the national average. It also billed 3,622 outpatient services, charging 6.11 times what Medicare paid.
- 1Medicare inpatient stays 4,611
- 2Charge ÷ paid, inpatient 5.03×
- 3Rank in PA (highest ratio = 1) 44 of 117
- 4CMS price-transparency actions 1
Inpatient stays
For the 119 DRGs that can be compared with the national average, Chester County Hospital charged more than the national average in 8 (7%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 349 | $69,570 | -23% | $14,204 |
| 291 Heart Failure and Shock with MCC | 304 | $44,193 | -22% | $9,178 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 142 | $33,655 | -16% | $6,011 |
| 177 Respiratory Infections and Inflammations with MCC | 124 | $57,751 | -18% | $11,599 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 108 | $50,576 | 0% | $8,217 |
| 690 Kidney and Urinary Tract Infections without MCC | 107 | $32,289 | -15% | $6,013 |
| 193 Simple Pneumonia and Pleurisy with MCC | 100 | $46,438 | -22% | $9,698 |
| 378 Gastrointestinal Hemorrhage with CC | 93 | $48,775 | 0% | $7,359 |
| 683 Renal Failure with CC | 89 | $34,724 | -15% | $6,608 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 86 | $37,407 | +1% | $5,782 |
| 689 Kidney and Urinary Tract Infections with MCC | 80 | $42,943 | -16% | $8,567 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 79 | $60,320 | -35% | $13,859 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 77 | $50,454 | -9% | $7,521 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 77 | $53,058 | -12% | $9,748 |
| 194 Simple Pneumonia and Pleurisy with CC | 76 | $36,283 | -5% | $6,072 |
| 603 Cellulitis without MCC | 76 | $33,635 | -10% | $6,646 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 74 | $44,678 | -9% | $7,577 |
| 312 Syncope and Collapse | 63 | $34,594 | -24% | $6,490 |
| 189 Pulmonary Edema and Respiratory Failure | 62 | $50,873 | -12% | $9,145 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 59 | $30,825 | -15% | $5,631 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 56 | $53,870 | -27% | $11,928 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 55 | $38,703 | -32% | $9,148 |
| 389 Gastrointestinal Obstruction with CC | 53 | $35,406 | -9% | $5,945 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 52 | $35,207 | -26% | $7,420 |
| 178 Respiratory Infections and Inflammations with CC | 50 | $49,849 | +10% | $7,711 |
| 292 Heart Failure and Shock with CC | 49 | $34,326 | -12% | $6,175 |
| 552 Medical Back Problems without MCC | 47 | $43,146 | -12% | $7,262 |
| 202 Bronchitis and Asthma with CC/MCC | 45 | $38,900 | -16% | $7,274 |
| 377 Gastrointestinal Hemorrhage with MCC | 45 | $72,935 | -15% | $12,627 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 45 | $70,103 | -31% | $15,413 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 44 | $64,928 | -43% | $14,227 |
| 460 Spinal Fusion except Cervical without MCC | 44 | $118,721 | -30% | $27,102 |
| 682 Renal Failure with MCC | 43 | $57,354 | -13% | $10,806 |
| 394 Other Digestive System Diagnoses with CC | 42 | $43,096 | -8% | $7,284 |
| 481 Hip and Femur Procedures except Major Joint with CC | 42 | $74,635 | -26% | $15,079 |
| 069 Transient Ischemia without Thrombolytic | 39 | $43,528 | -14% | $6,002 |
| 812 Red Blood Cell Disorders without MCC | 38 | $43,172 | -3% | $6,785 |
| 149 Dysequilibrium | 36 | $36,588 | -18% | $5,619 |
| 948 Signs and Symptoms without MCC | 36 | $39,514 | +4% | $5,853 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 35 | $81,386 | -28% | $15,480 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 35 | $138,941 | -39% | $33,385 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $64,561 | -15% | $11,335 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 32 | $29,696 | -30% | $6,526 |
| 057 Degenerative Nervous System Disorders without MCC | 31 | $43,325 | -23% | $9,641 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 31 | $48,469 | -26% | $9,501 |
| 092 Other Disorders of Nervous System with CC | 30 | $38,564 | -25% | $7,856 |
| 638 Diabetes with CC | 30 | $35,605 | -15% | $6,765 |
| 884 Organic Disturbances and Intellectual Disability | 30 | $65,857 | +6% | $12,965 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 29 | $46,249 | -28% | $8,265 |
| 393 Other Digestive System Diagnoses with MCC | 29 | $53,093 | -31% | $12,051 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 28 | $40,742 | +3% | $6,327 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 28 | $22,693 | -21% | $4,371 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $45,528 | -25% | $9,630 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 27 | $80,051 | -28% | $16,493 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 27 | $49,438 | -27% | $10,438 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 26 | $176,568 | -20% | $35,128 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 26 | $39,662 | -21% | $6,807 |
| 329 Major Small and Large Bowel Procedures with MCC | 25 | $143,094 | -33% | $33,821 |
| 390 Gastrointestinal Obstruction without CC/MCC | 25 | $23,783 | -15% | $4,242 |
| 314 Other Circulatory System Diagnoses with MCC | 24 | $72,415 | -24% | $15,016 |
Showing the 60 most frequent of 119 DRGs.
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Chester County Hospital charged $69,570 on average, 21% less than the Pennsylvania average of $88,167, and was paid $14,204 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Chester County Hospital charged $44,193 on average, 23% less than the Pennsylvania average of $57,362, and was paid $9,178 against a state average of $11,112. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Chester County Hospital charged $33,655 on average, 16% less than the Pennsylvania average of $40,091, and was paid $6,011 against a state average of $7,126. For Respiratory Infections and Inflammations with MCC (DRG 177), Chester County Hospital charged $57,751 on average, 20% less than the Pennsylvania average of $72,025, and was paid $11,599 against a state average of $14,034. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,571 was 5% below the state average of $21,732. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,246 was 25% below the state average of $13,651. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,152 was 19% below the state average of $28,496. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,387 was 26% below the state average of $63,627.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Chester County Hospital in West Chester, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-23 (CMS case 4057)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.