Hospital of Univ of Pennsylvania: charges and Medicare payments

Hospital of Univ of Pennsylvania reported 7,272 Medicare inpatient stays across 211 DRGs in 2024. Across them it charged 7.08 times what it was paid — among the higher ratios in Pennsylvania, number 18 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: 253 stays at an average charge of $286,636, 217% above the national average. It also billed 11,870 outpatient services, charging 14.72 times what Medicare paid.

1Medicare inpatient stays 7,272
2Charge ÷ paid, inpatient 7.08×
3Rank in PA (highest ratio = 1) 18 of 117
4CMS price-transparency actions 0

Average charge per stay at Hospital of Univ of Pennsylvania, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 211 DRGs that can be compared with the national average, Hospital of Univ of Pennsylvania charged more than the national average in 209 (99%). 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	253	$286,636	+217%	$35,189
291 Heart Failure and Shock with MCC	146	$169,901	+201%	$20,596
286 Circulatory Disorders except AMI, with Cardiac...	142	$363,380	+224%	$40,427
267 Endovascular Cardiac Valve Replacement and Supplement...	138	$334,558	+51%	$53,779
025 Craniotomy and Endovascular Intracranial Procedures with MCC	133	$347,973	+50%	$53,503
274 Percutaneous and Other Intracardiac Procedures without MCC	132	$343,112	+119%	$37,826
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	128	$437,408	+58%	$62,480
330 Major Small and Large Bowel Procedures with CC	109	$204,946	+72%	$31,350
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	108	$105,511	+56%	$18,272
165 Major Chest Procedures without CC/MCC	104	$127,737	+24%	$22,432
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	95	$751,390	+88%	$110,251
846 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	94	$266,073	+98%	$41,481
652 Kidney Transplant	89	$407,019	+21%	$40,974
193 Simple Pneumonia and Pleurisy with MCC	83	$176,426	+195%	$22,598
164 Major Chest Procedures with CC	81	$162,785	+28%	$29,615
314 Other Circulatory System Diagnoses with MCC	81	$256,509	+170%	$35,031
177 Respiratory Infections and Inflammations with MCC	79	$223,321	+216%	$28,086
189 Pulmonary Edema and Respiratory Failure	76	$202,925	+252%	$22,112
309 Cardiac Arrhythmia and Conduction Disorders with CC	75	$62,624	+73%	$10,926
027 Craniotomy and Endovascular Intracranial Procedures without...	72	$318,648	+128%	$30,663
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	72	$165,500	+174%	$19,499
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	69	$272,781	+173%	$31,845
853 Infectious and Parasitic Diseases with O.R. Procedures with...	68	$639,886	+179%	$90,552
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	66	$2,726,336	+159%	$407,445
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	64	$125,958	+126%	$14,174
236 Coronary Bypass without Cardiac Catheterization without MCC	62	$357,171	+69%	$48,502
329 Major Small and Large Bowel Procedures with MCC	62	$497,004	+131%	$75,907
287 Circulatory Disorders except AMI, with Cardiac...	61	$209,447	+228%	$19,809
406 Pancreas, Liver and Shunt Procedures with CC	61	$239,298	+48%	$35,775
378 Gastrointestinal Hemorrhage with CC	54	$128,261	+164%	$15,343
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	54	$89,477	+123%	$10,666
018 Chimeric Antigen Receptor (Car) T-Cell and Other...	53	$2,622,378	+19%	$399,511
205 Other Respiratory System Diagnoses with MCC	53	$235,090	+166%	$29,258
834 Acute Leukemia with MCC	53	$697,963	+143%	$97,734
699 Other Kidney and Urinary Tract Diagnoses with CC	51	$101,251	+113%	$14,275
885 Psychoses	51	$159,284	+262%	$26,299
266 Endovascular Cardiac Valve Replacement and Supplement...	50	$590,703	+107%	$84,860
377 Gastrointestinal Hemorrhage with MCC	50	$214,198	+151%	$28,210
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	50	$119,246	+222%	$13,472
840 Lymphoma and Non-Acute Leukemia with MCC	50	$409,696	+163%	$55,357
026 Craniotomy and Endovascular Intracranial Procedures with CC	49	$299,492	+81%	$34,843
698 Other Kidney and Urinary Tract Diagnoses with MCC	49	$171,358	+133%	$25,302
292 Heart Failure and Shock with CC	48	$134,013	+244%	$14,418
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	47	$38,580	+34%	$7,855
690 Kidney and Urinary Tract Infections without MCC	47	$81,233	+115%	$11,449
837 Chemotherapy with Acute Leukemia As Secondary Diagnosis or...	47	$367,434	+57%	$65,899
273 Percutaneous and Other Intracardiac Procedures with MCC	46	$570,384	+166%	$64,240
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	46	$174,405	+186%	$22,124
023 Craniotomy with Major Device Implant or Acute Complex Cns...	44	$485,074	+73%	$71,600
101 Seizures without MCC	44	$119,013	+144%	$14,115
331 Major Small and Large Bowel Procedures without CC/MCC	44	$141,228	+65%	$20,415
327 Stomach, Esophageal and Duodenal Procedures with CC	43	$244,132	+93%	$33,616
460 Spinal Fusion except Cervical without MCC	41	$162,798	-4%	$42,299
194 Simple Pneumonia and Pleurisy with CC	40	$123,613	+222%	$15,688
190 Chronic Obstructive Pulmonary Disease with MCC	39	$148,868	+194%	$17,526
308 Cardiac Arrhythmia and Conduction Disorders with MCC	39	$142,833	+152%	$18,249
812 Red Blood Cell Disorders without MCC	39	$90,406	+104%	$12,735
919 Complications of Treatment with MCC	39	$197,153	+123%	$27,563
235 Coronary Bypass without Cardiac Catheterization with MCC	38	$515,058	+76%	$70,057
253 Other Vascular Procedures with CC	38	$240,625	+83%	$32,257

Showing the 60 most frequent of 211 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	1,428	$3,612	$628
Level 2 Excision/ Biopsy/ Incision and Drainage	1,049	$20,804	$1,462
Comprehensive Observation Services	785	$54,820	$2,755
Level 2 Upper GI Procedures	692	$19,242	$1,894
Level 3 Urology and Related Services	617	$28,074	$2,023
Level 3 Excision/ Biopsy/ Incision and Drainage	606	$37,241	$2,694
Level 1 Endovascular Procedures	590	$62,288	$3,268
Level 1 Intraocular Procedures	501	$24,697	$940
Level 3 Airway Endoscopy	450	$12,070	$1,670
Level 3 Vascular Procedures	448	$28,478	$3,191
Level 3 Electrophysiologic Procedures	437	$303,323	$23,812
Level 5 ENT Procedures	376	$56,268	$4,811
Level 4 Airway Endoscopy	318	$45,312	$3,739
Level 1 Laparoscopy and Related Services	269	$66,732	$5,341
Level 4 Urology and Related Services	250	$40,116	$3,502
Level 4 Vascular Procedures	247	$88,981	$5,504
Level 3 Endovascular Procedures	215	$149,224	$11,019
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	206	$37,798	$3,428
Level 5 Airway Endoscopy	183	$69,945	$6,850
Level 1 Breast/Lymphatic Surgery and Related Procedures	166	$58,046	$3,465
Level 5 Urology and Related Services	164	$56,991	$5,213
Level 1 Nerve Procedures	162	$18,870	$872
Level 2 Breast/Lymphatic Surgery and Related Procedures	155	$75,029	$6,188
Level 2 Pacemaker and Similar Procedures	152	$118,728	$8,512
Level 3 Lower GI Procedures	151	$23,318	$2,711

Against the Pennsylvania average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hospital of Univ of Pennsylvania charged $286,636 on average, 225% more than the Pennsylvania average of $88,167, and was paid $35,189 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Hospital of Univ of Pennsylvania charged $169,901 on average, 196% more than the Pennsylvania average of $57,362, and was paid $20,596 against a state average of $11,112. For Circulatory Disorders except AMI, with Cardiac Catheterization with MCC (DRG 286), Hospital of Univ of Pennsylvania charged $363,380 on average, 173% more than the Pennsylvania average of $133,276, and was paid $40,427 against a state average of $21,460. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Hospital of Univ of Pennsylvania charged $334,558 on average, 22% more than the Pennsylvania average of $274,715, and was paid $53,779 against a state average of $43,015. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,612 was 17% below the state average of $4,364. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $20,804 was 52% above the state average of $13,651. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $54,820 was 152% above the state average of $21,732. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $19,242 was 25% above the state average of $15,366.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.