Pennsylvania / Doylestown Hospital
CMS certification 390203 · Doylestown, PA · 2 entries in CMS's price-transparency list
Doylestown Hospital: charges and Medicare payments
Doylestown Hospital reported 4,194 Medicare inpatient stays across 116 DRGs in 2024. Across them it charged 3.89 times what it was paid — mid-range in Pennsylvania, number 73 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: 448 stays at an average charge of $44,529, 51% below the national average. It also billed 3,385 outpatient services, charging 6.18 times what Medicare paid.
- 1Medicare inpatient stays 4,194
- 2Charge ÷ paid, inpatient 3.89×
- 3Rank in PA (highest ratio = 1) 73 of 117
- 4CMS price-transparency actions 2
Inpatient stays
For the 116 DRGs that can be compared with the national average, Doylestown Hospital charged more than the national average in 0 (0%). 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 | 448 | $44,529 | -51% | $13,613 |
| 291 Heart Failure and Shock with MCC | 360 | $33,036 | -41% | $9,156 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 136 | $25,969 | -47% | $7,294 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 100 | $55,846 | -40% | $13,887 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 94 | $22,245 | -45% | $5,662 |
| 177 Respiratory Infections and Inflammations with MCC | 92 | $43,481 | -38% | $11,469 |
| 378 Gastrointestinal Hemorrhage with CC | 84 | $27,880 | -43% | $7,273 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 71 | $26,455 | -27% | $5,356 |
| 603 Cellulitis without MCC | 71 | $18,727 | -50% | $6,387 |
| 193 Simple Pneumonia and Pleurisy with MCC | 68 | $37,343 | -38% | $9,756 |
| 682 Renal Failure with MCC | 63 | $35,146 | -47% | $10,361 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 60 | $37,544 | -26% | $7,969 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 60 | $88,943 | -22% | $14,010 |
| 683 Renal Failure with CC | 58 | $24,970 | -39% | $6,614 |
| 690 Kidney and Urinary Tract Infections without MCC | 58 | $17,565 | -54% | $5,634 |
| 813 Coagulation Disorders | 56 | $36,869 | -54% | $11,405 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 56 | $115,360 | -50% | $32,677 |
| 481 Hip and Femur Procedures except Major Joint with CC | 55 | $61,920 | -39% | $14,559 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 53 | $30,208 | -46% | $6,983 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 52 | $36,139 | -51% | $11,711 |
| 377 Gastrointestinal Hemorrhage with MCC | 51 | $48,393 | -43% | $12,277 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 49 | $64,742 | -42% | $15,955 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 49 | $24,321 | -34% | $5,501 |
| 330 Major Small and Large Bowel Procedures with CC | 44 | $72,671 | -39% | $16,755 |
| 394 Other Digestive System Diagnoses with CC | 41 | $24,435 | -48% | $6,775 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 40 | $45,796 | -54% | $13,630 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 40 | $198,386 | -30% | $45,064 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 39 | $30,297 | -47% | $8,673 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 39 | $125,068 | -24% | $21,550 |
| 689 Kidney and Urinary Tract Infections with MCC | 39 | $23,740 | -54% | $8,245 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 38 | $68,437 | -33% | $15,012 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 38 | $31,731 | -47% | $9,255 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 37 | $27,111 | -32% | $6,058 |
| 389 Gastrointestinal Obstruction with CC | 37 | $22,181 | -43% | $5,715 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 34 | $25,066 | -49% | $7,980 |
| 194 Simple Pneumonia and Pleurisy with CC | 33 | $21,395 | -44% | $6,927 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 33 | $19,373 | -33% | $4,014 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 33 | $62,493 | -36% | $14,021 |
| 202 Bronchitis and Asthma with CC/MCC | 32 | $31,499 | -32% | $7,285 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 32 | $99,883 | -10% | $17,019 |
| 312 Syncope and Collapse | 29 | $23,058 | -49% | $6,207 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 29 | $21,048 | -56% | $7,149 |
| 178 Respiratory Infections and Inflammations with CC | 28 | $23,475 | -48% | $6,924 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 27 | $41,245 | -35% | $8,128 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $32,244 | -47% | $9,164 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 26 | $214,164 | -3% | $34,868 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 25 | $149,006 | -63% | $57,287 |
| 092 Other Disorders of Nervous System with CC | 24 | $24,375 | -53% | $7,274 |
| 300 Peripheral Vascular Disorders with CC | 24 | $24,853 | -50% | $7,594 |
| 314 Other Circulatory System Diagnoses with MCC | 24 | $50,969 | -46% | $14,395 |
| 552 Medical Back Problems without MCC | 24 | $23,245 | -52% | $6,694 |
| 812 Red Blood Cell Disorders without MCC | 24 | $33,974 | -23% | $6,769 |
| 176 Pulmonary Embolism without MCC | 23 | $27,909 | -33% | $5,839 |
| 811 Red Blood Cell Disorders with MCC | 23 | $36,656 | -46% | $10,065 |
| 091 Other Disorders of Nervous System with MCC | 22 | $51,825 | -37% | $12,760 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 22 | $107,348 | -61% | $37,518 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $50,830 | -33% | $12,043 |
| 439 Disorders of Pancreas except Malignancy with CC | 22 | $26,227 | -40% | $6,170 |
| 638 Diabetes with CC | 22 | $24,044 | -42% | $6,639 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 21 | $100,962 | -36% | $22,796 |
Showing the 60 most frequent of 116 DRGs.
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Doylestown Hospital charged $44,529 on average, 49% less than the Pennsylvania average of $88,167, and was paid $13,613 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Doylestown Hospital charged $33,036 on average, 42% less than the Pennsylvania average of $57,362, and was paid $9,156 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Doylestown Hospital charged $25,969 on average, 48% less than the Pennsylvania average of $49,758, and was paid $7,294 against a state average of $9,077. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Doylestown Hospital charged $55,846 on average, 28% less than the Pennsylvania average of $77,050, and was paid $13,887 against a state average of $15,450. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,469 was 20% below the state average of $21,732. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $20,975 was 26% below the state average of $28,496. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $99,312 was 45% below the state average of $181,283. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,069 was 34% below the state average of $15,366.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Doylestown Hospital in Doylestown, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-08-20 (CMS case 6293)
- Closure Notice — 2025-09-18 (CMS case 6293)
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.