Pennsylvania / Nazareth Hospital
CMS certification 390204 · Philadelphia, PA · 4 entries in CMS's price-transparency list
Nazareth Hospital: charges and Medicare payments
Nazareth Hospital reported 1,067 Medicare inpatient stays across 37 DRGs in 2024. Across them it charged 3.36 times what it was paid — among the lower ratios in Pennsylvania, number 95 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: 251 stays at an average charge of $65,272, 28% below the national average. It also billed 279 outpatient services, charging 9.39 times what Medicare paid.
- 1Medicare inpatient stays 1,067
- 2Charge ÷ paid, inpatient 3.36×
- 3Rank in PA (highest ratio = 1) 95 of 117
- 4CMS price-transparency actions 4
Inpatient stays
For the 37 DRGs that can be compared with the national average, Nazareth 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 | 251 | $65,272 | -28% | $19,056 |
| 291 Heart Failure and Shock with MCC | 86 | $40,900 | -27% | $12,824 |
| 177 Respiratory Infections and Inflammations with MCC | 52 | $51,676 | -27% | $16,076 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $39,164 | -34% | $12,908 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 39 | $59,235 | -19% | $15,067 |
| 189 Pulmonary Edema and Respiratory Failure | 38 | $49,661 | -14% | $13,139 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 32 | $34,045 | -33% | $10,961 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $36,558 | -29% | $11,538 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 29 | $135,619 | -41% | $42,098 |
| 377 Gastrointestinal Hemorrhage with MCC | 24 | $62,942 | -26% | $17,788 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $27,052 | -28% | $7,856 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $40,765 | -17% | $10,255 |
| 069 Transient Ischemia without Thrombolytic | 22 | $43,382 | -14% | $8,307 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $47,116 | -22% | $12,451 |
| 683 Renal Failure with CC | 22 | $31,282 | -23% | $8,614 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 20 | $58,704 | -41% | $19,800 |
| 378 Gastrointestinal Hemorrhage with CC | 20 | $39,156 | -19% | $9,800 |
| 603 Cellulitis without MCC | 20 | $29,552 | -21% | $9,188 |
| 312 Syncope and Collapse | 19 | $34,088 | -25% | $8,906 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 19 | $145,435 | -55% | $59,278 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 18 | $26,934 | -25% | $7,432 |
| 682 Renal Failure with MCC | 18 | $48,450 | -27% | $13,946 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $42,472 | -24% | $10,862 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $30,894 | -23% | $8,256 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $31,723 | -33% | $10,411 |
| 178 Respiratory Infections and Inflammations with CC | 14 | $37,510 | -17% | $10,080 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $44,801 | -41% | $16,112 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $38,478 | -32% | $12,056 |
| 389 Gastrointestinal Obstruction with CC | 14 | $34,778 | -11% | $8,975 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $45,156 | -31% | $14,263 |
| 314 Other Circulatory System Diagnoses with MCC | 13 | $81,640 | -14% | $20,555 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $32,925 | -11% | $8,201 |
| 811 Red Blood Cell Disorders with MCC | 13 | $48,712 | -29% | $13,180 |
| 637 Diabetes with MCC | 12 | $50,964 | -23% | $17,668 |
| 296 Cardiac Arrest, Unexplained with MCC | 11 | $29,325 | -66% | $15,239 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 11 | $86,178 | 0% | $19,963 |
| 552 Medical Back Problems without MCC | 11 | $30,632 | -37% | $9,083 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 174 | $19,337 | $2,536 |
| Level 3 Vascular Procedures | 22 | $21,325 | $2,944 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 21 | $10,161 | $1,546 |
| Level 1 Intraocular Procedures | 18 | $12,785 | $2,222 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $30,487 | $2,575 |
| Level 3 Urology and Related Services | 15 | $8,706 | $1,852 |
| Level 1 Laparoscopy and Related Services | 13 | $34,582 | $5,503 |
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Nazareth Hospital charged $65,272 on average, 26% less than the Pennsylvania average of $88,167, and was paid $19,056 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Nazareth Hospital charged $40,900 on average, 29% less than the Pennsylvania average of $57,362, and was paid $12,824 against a state average of $11,112. For Respiratory Infections and Inflammations with MCC (DRG 177), Nazareth Hospital charged $51,676 on average, 28% less than the Pennsylvania average of $72,025, and was paid $16,076 against a state average of $14,034. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Nazareth Hospital charged $39,164 on average, 34% less than the Pennsylvania average of $59,404, and was paid $12,908 against a state average of $11,319. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,337 was 11% below the state average of $21,732. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $21,325 was 6% below the state average of $22,799. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,161 was 26% below the state average of $13,651. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,785 was 11% below the state average of $14,403.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Nazareth Hospital in Philadelphia, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-06-08 (CMS case 1622)
- Met Requirements — 2025-04-04 (CMS case 3583)
- Warning Notice — 2025-07-15 (CMS case 5684)
- Closure Notice — 2025-10-31 (CMS case 5684)
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.