Independence Health System Butler Memorial Hospita: charges and Medicare payments

Independence Health System Butler Memorial Hospita reported 779 Medicare inpatient stays across 39 DRGs in 2024. Across them it charged 3.57 times what it was paid — among the lower ratios in Pennsylvania, number 86 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 69 stays at an average charge of $25,273, 55% below the national average. It also billed 1,432 outpatient services, charging 6.52 times what Medicare paid.

1Medicare inpatient stays 779
2Charge ÷ paid, inpatient 3.57×
3Rank in PA (highest ratio = 1) 86 of 117
4CMS price-transparency actions 0

Average charge per stay at Independence Health System Butler Memorial Hospita, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 39 DRGs that can be compared with the national average, Independence Health System Butler Memorial Hospita 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
291 Heart Failure and Shock with MCC	69	$25,273	-55%	$9,234
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	59	$40,698	-55%	$13,602
177 Respiratory Infections and Inflammations with MCC	38	$34,371	-51%	$11,410
193 Simple Pneumonia and Pleurisy with MCC	36	$33,963	-43%	$9,408
885 Psychoses	30	$20,816	-53%	$9,932
267 Endovascular Cardiac Valve Replacement and Supplement...	26	$150,945	-32%	$32,678
309 Cardiac Arrhythmia and Conduction Disorders with CC	24	$15,261	-58%	$5,985
274 Percutaneous and Other Intracardiac Procedures without MCC	22	$126,763	-19%	$22,158
683 Renal Failure with CC	22	$18,303	-55%	$6,617
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	21	$29,751	-47%	$8,002
280 Acute Myocardial Infarction, Discharged Alive with MCC	21	$32,859	-57%	$10,947
308 Cardiac Arrhythmia and Conduction Disorders with MCC	19	$22,813	-60%	$9,175
234 Coronary Bypass with Cardiac Catheterization or Open...	18	$102,794	-62%	$31,117
266 Endovascular Cardiac Valve Replacement and Supplement...	18	$174,108	-39%	$41,994
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	18	$15,967	-44%	$4,788
895 Alcohol, Drug Abuse or Dependence with Rehabilitation...	18	$22,997	-33%	$11,005
243 Permanent Cardiac Pacemaker Implant with CC	17	$73,864	-33%	$15,823
378 Gastrointestinal Hemorrhage with CC	17	$24,065	-50%	$7,265
853 Infectious and Parasitic Diseases with O.R. Procedures with...	17	$82,089	-64%	$29,894
194 Simple Pneumonia and Pleurisy with CC	16	$21,991	-43%	$6,116
281 Acute Myocardial Infarction, Discharged Alive with CC	16	$28,003	-45%	$6,868
603 Cellulitis without MCC	16	$15,322	-59%	$6,581
189 Pulmonary Edema and Respiratory Failure	15	$27,489	-52%	$9,018
236 Coronary Bypass without Cardiac Catheterization without MCC	15	$72,073	-66%	$25,774
690 Kidney and Urinary Tract Infections without MCC	15	$20,541	-46%	$6,004
286 Circulatory Disorders except AMI, with Cardiac...	14	$55,630	-50%	$15,097
287 Circulatory Disorders except AMI, with Cardiac...	14	$39,767	-38%	$8,039
638 Diabetes with CC	14	$26,559	-36%	$7,114
682 Renal Failure with MCC	14	$48,568	-26%	$10,345
314 Other Circulatory System Diagnoses with MCC	13	$62,401	-34%	$14,427
322 Percutaneous Cardiovascular Procedures with Intraluminal...	13	$95,602	-17%	$12,861
689 Kidney and Urinary Tract Infections with MCC	13	$29,175	-43%	$8,343
329 Major Small and Large Bowel Procedures with MCC	12	$77,815	-64%	$28,497
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	12	$22,244	-45%	$6,059
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	12	$22,607	-39%	$5,962
699 Other Kidney and Urinary Tract Diagnoses with CC	12	$23,637	-50%	$7,574
036 Carotid Artery Stent Procedures without CC/MCC	11	$52,598	-41%	$12,809
039 Extracranial Procedures without CC/MCC	11	$28,512	-55%	$8,399
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	11	$52,295	-49%	$14,719

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	221	$19,997	$2,436
Level 1 Endovascular Procedures	155	$18,445	$2,902
Level 2 Excision/ Biopsy/ Incision and Drainage	110	$8,013	$1,073
Level 5 Musculoskeletal Procedures	108	$50,537	$11,740
Level 3 Electrophysiologic Procedures	72	$146,765	$20,888
Level 3 Vascular Procedures	71	$15,053	$2,783
Level 1 Laparoscopy and Related Services	66	$12,920	$5,112
Level 3 Urology and Related Services	61	$8,807	$1,819
Level 5 Urology and Related Services	57	$16,250	$4,366
Level 3 Endovascular Procedures	47	$61,841	$9,644
Level 4 Musculoskeletal Procedures	45	$22,333	$6,206
Level 2 Endovascular Procedures	43	$34,506	$5,105
Level 4 Urology and Related Services	38	$9,612	$3,114
Level 3 Pacemaker and Similar Procedures	37	$56,525	$9,531
Level 2 Vascular Procedures	34	$12,926	$1,361
Level 4 Endovascular Procedures	33	$87,974	$14,733
Level 1 Nerve Procedures	27	$5,705	$1,725
Level 2 Upper GI Procedures	26	$7,484	$1,615
Level 2 Pacemaker and Similar Procedures	25	$26,591	$7,588
Level 2 Musculoskeletal Procedures	22	$5,183	$1,436
Level 3 Musculoskeletal Procedures	22	$13,363	$2,891
Level 6 Musculoskeletal Procedures	22	$68,155	$16,610
Level 3 Excision/ Biopsy/ Incision and Drainage	21	$14,168	$2,465
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	18	$12,266	$3,090
Level 6 Urology and Related Services	15	$26,169	$8,227

Against the Pennsylvania average

For Heart Failure and Shock with MCC (DRG 291), Independence Health System Butler Memorial Hospita charged $25,273 on average, 56% less than the Pennsylvania average of $57,362, and was paid $9,234 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Independence Health System Butler Memorial Hospita charged $40,698 on average, 54% less than the Pennsylvania average of $88,167, and was paid $13,602 against a state average of $16,881. For Respiratory Infections and Inflammations with MCC (DRG 177), Independence Health System Butler Memorial Hospita charged $34,371 on average, 52% less than the Pennsylvania average of $72,025, and was paid $11,410 against a state average of $14,034. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Independence Health System Butler Memorial Hospita charged $33,963 on average, 43% less than the Pennsylvania average of $59,404, and was paid $9,408 against a state average of $11,319. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,997 was 8% below the state average of $21,732. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,445 was 35% below the state average of $28,496. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,013 was 41% below the state average of $13,651. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $50,537 was 21% below the state average of $63,627.

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.