Pennsylvania / Lancaster General Hospital
CMS certification 390100 · Lancaster, PA · 3 entries in CMS's price-transparency list
Lancaster General Hospital: charges and Medicare payments
Lancaster General Hospital reported 6,326 Medicare inpatient stays across 167 DRGs in 2024. Across them it charged 3.84 times what it was paid — mid-range in Pennsylvania, number 75 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: 343 stays at an average charge of $37,508, 33% below the national average. It also billed 5,562 outpatient services, charging 6.46 times what Medicare paid.
- 1Medicare inpatient stays 6,326
- 2Charge ÷ paid, inpatient 3.84×
- 3Rank in PA (highest ratio = 1) 75 of 117
- 4CMS price-transparency actions 3
Inpatient stays
For the 167 DRGs that can be compared with the national average, Lancaster General Hospital charged more than the national average in 1 (1%). 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 | 343 | $37,508 | -33% | $10,114 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 309 | $61,192 | -32% | $15,949 |
| 193 Simple Pneumonia and Pleurisy with MCC | 213 | $37,896 | -37% | $11,170 |
| 177 Respiratory Infections and Inflammations with MCC | 204 | $41,364 | -41% | $12,708 |
| 189 Pulmonary Edema and Respiratory Failure | 141 | $39,635 | -31% | $10,179 |
| 690 Kidney and Urinary Tract Infections without MCC | 114 | $27,215 | -28% | $6,568 |
| 689 Kidney and Urinary Tract Infections with MCC | 110 | $31,093 | -39% | $9,005 |
| 481 Hip and Femur Procedures except Major Joint with CC | 109 | $67,584 | -33% | $16,164 |
| 552 Medical Back Problems without MCC | 105 | $32,282 | -34% | $7,875 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 101 | $53,577 | -29% | $12,275 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 95 | $27,356 | -32% | $6,689 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 90 | $151,724 | -31% | $36,423 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 87 | $36,295 | -35% | $8,671 |
| 683 Renal Failure with CC | 86 | $29,854 | -27% | $7,339 |
| 378 Gastrointestinal Hemorrhage with CC | 84 | $35,340 | -27% | $8,358 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 72 | $56,828 | -43% | $15,418 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 70 | $81,851 | -27% | $17,173 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 70 | $26,884 | -26% | $6,438 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 67 | $36,642 | -27% | $7,614 |
| 682 Renal Failure with MCC | 65 | $42,647 | -35% | $11,787 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 63 | $48,939 | -47% | $15,095 |
| 377 Gastrointestinal Hemorrhage with MCC | 61 | $46,739 | -45% | $17,042 |
| 603 Cellulitis without MCC | 61 | $28,228 | -24% | $6,877 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 59 | $50,259 | -32% | $13,066 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 56 | $42,257 | -25% | $11,262 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 56 | $39,110 | -35% | $11,612 |
| 057 Degenerative Nervous System Disorders without MCC | 53 | $39,218 | -31% | $10,728 |
| 330 Major Small and Large Bowel Procedures with CC | 53 | $72,769 | -39% | $19,356 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 53 | $170,723 | -25% | $45,428 |
| 178 Respiratory Infections and Inflammations with CC | 50 | $32,376 | -29% | $7,565 |
| 312 Syncope and Collapse | 50 | $32,497 | -29% | $7,020 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 50 | $34,723 | -19% | $7,214 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 49 | $106,215 | -7% | $18,138 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 48 | $25,608 | -31% | $6,480 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 47 | $37,480 | -26% | $9,059 |
| 394 Other Digestive System Diagnoses with CC | 47 | $31,038 | -34% | $7,873 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 47 | $66,180 | -35% | $17,643 |
| 194 Simple Pneumonia and Pleurisy with CC | 45 | $26,280 | -32% | $6,931 |
| 329 Major Small and Large Bowel Procedures with MCC | 44 | $118,687 | -45% | $33,948 |
| 389 Gastrointestinal Obstruction with CC | 44 | $25,959 | -33% | $6,525 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 44 | $33,419 | -45% | $10,369 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 43 | $105,427 | -5% | $21,034 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 42 | $39,344 | -20% | $8,500 |
| 041 Peripheral, Cranial Nerve and Other Nervous System... | 41 | $77,432 | -33% | $16,701 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 40 | $125,716 | -22% | $29,673 |
| 884 Organic Disturbances and Intellectual Disability | 39 | $45,234 | -28% | $12,949 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 38 | $44,093 | -32% | $11,902 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 38 | $126,380 | -19% | $24,967 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 38 | $152,814 | -29% | $35,564 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 37 | $210,894 | -47% | $64,859 |
| 393 Other Digestive System Diagnoses with MCC | 36 | $55,259 | -28% | $13,571 |
| 184 Major Chest Trauma with CC | 35 | $38,827 | -30% | $10,262 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 34 | $129,465 | -21% | $24,907 |
| 071 Other Cerebrovascular Disorders with CC | 33 | $35,810 | -29% | $8,448 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 33 | $103,619 | -24% | $25,574 |
| 467 Revision of Hip or Knee Replacement with CC | 33 | $76,291 | -52% | $30,391 |
| 605 Trauma To The Skin, Subcutaneous Tissue and Breast without... | 33 | $32,592 | -30% | $7,538 |
| 101 Seizures without MCC | 32 | $28,944 | -41% | $7,316 |
| 069 Transient Ischemia without Thrombolytic | 31 | $26,145 | -48% | $6,470 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 31 | $59,316 | -49% | $18,626 |
Showing the 60 most frequent of 167 DRGs.
Outpatient services
Against the Pennsylvania average
For Heart Failure and Shock with MCC (DRG 291), Lancaster General Hospital charged $37,508 on average, 35% less than the Pennsylvania average of $57,362, and was paid $10,114 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lancaster General Hospital charged $61,192 on average, 31% less than the Pennsylvania average of $88,167, and was paid $15,949 against a state average of $16,881. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Lancaster General Hospital charged $37,896 on average, 36% less than the Pennsylvania average of $59,404, and was paid $11,170 against a state average of $11,319. For Respiratory Infections and Inflammations with MCC (DRG 177), Lancaster General Hospital charged $41,364 on average, 43% less than the Pennsylvania average of $72,025, and was paid $12,708 against a state average of $14,034. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,670 was 32% below the state average of $21,732. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $36,954 was 42% below the state average of $63,627. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,031 was 27% below the state average of $13,651. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,196 was 19% below the state average of $28,496.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Lancaster General Hospital in Lancaster, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-08-23 (CMS case 2463)
- CAP Request — 2024-12-03 (CMS case 2463)
- Closure Notice — 2025-02-13 (CMS case 2463)
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.