Pennsylvania / Penn State Health Hampden Medical Center

CMS certification 390336 · Enola, PA

Penn State Health Hampden Medical Center: charges and Medicare payments

Penn State Health Hampden Medical Center reported 666 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 3.59 times what it was paid — among the lower ratios in Pennsylvania, number 84 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 $42,774, 24% below the national average. It also billed 647 outpatient services, charging 12.62 times what Medicare paid.

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  1. 1Medicare inpatient stays 666
  2. 2Charge ÷ paid, inpatient 3.59×
  3. 3Rank in PA (highest ratio = 1) 84 of 117
  4. 4CMS price-transparency actions 0
DRG 291$42,774DRG 177$53,940DRG 871$83,033DRG 392$25,189DRG 690$31,874DRG 391$39,442DRG 189$43,375DRG 178$47,186DRG 689$41,498DRG 312$39,837
Average charge per stay at Penn State Health Hampden Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 30 DRGs that can be compared with the national average, Penn State Health Hampden Medical Center charged more than the national average in 5 (17%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
291 Heart Failure and Shock with MCC69$42,774-24%$13,664
177 Respiratory Infections and Inflammations with MCC60$53,940-24%$17,216
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC59$83,033-8%$22,441
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...44$25,189-37%$8,037
690 Kidney and Urinary Tract Infections without MCC34$31,874-16%$8,957
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...27$39,442-35%$12,428
189 Pulmonary Edema and Respiratory Failure26$43,375-25%$11,255
178 Respiratory Infections and Inflammations with CC24$47,186+4%$14,745
689 Kidney and Urinary Tract Infections with MCC23$41,498-19%$12,598
312 Syncope and Collapse22$39,837-13%$9,044
603 Cellulitis without MCC22$23,668-37%$8,616
683 Renal Failure with CC22$35,211-13%$10,507
698 Other Kidney and Urinary Tract Diagnoses with MCC18$75,810+3%$17,913
193 Simple Pneumonia and Pleurisy with MCC17$52,449-12%$15,551
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...17$51,515-15%$15,160
280 Acute Myocardial Infarction, Discharged Alive with MCC15$42,525-44%$11,537
470 Major Hip and Knee Joint Replacement or Reattachment of...14$127,271+37%$14,456
194 Simple Pneumonia and Pleurisy with CC13$26,774-30%$9,341
313 Chest Pain13$38,608-3%$8,492
699 Other Kidney and Urinary Tract Diagnoses with CC13$41,165-13%$13,733
552 Medical Back Problems without MCC12$28,126-42%$10,728
638 Diabetes with CC12$29,124-30%$7,892
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...12$32,716-12%$8,954
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis...12$146,302+24%$24,555
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...11$32,983-41%$12,041
190 Chronic Obstructive Pulmonary Disease with MCC11$44,216-13%$16,580
305 Hypertension without MCC11$26,636-34%$7,781
309 Cardiac Arrhythmia and Conduction Disorders with CC11$28,914-20%$7,412
682 Renal Failure with MCC11$40,599-38%$15,666
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC11$56,159+14%$15,649

Outpatient services

Against the Pennsylvania average

For Heart Failure and Shock with MCC (DRG 291), Penn State Health Hampden Medical Center charged $42,774 on average, 25% less than the Pennsylvania average of $57,362, and was paid $13,664 against a state average of $11,112. For Respiratory Infections and Inflammations with MCC (DRG 177), Penn State Health Hampden Medical Center charged $53,940 on average, 25% less than the Pennsylvania average of $72,025, and was paid $17,216 against a state average of $14,034. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Penn State Health Hampden Medical Center charged $83,033 on average, 6% less than the Pennsylvania average of $88,167, and was paid $22,441 against a state average of $16,881. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Penn State Health Hampden Medical Center charged $25,189 on average, 37% less than the Pennsylvania average of $40,091, and was paid $8,037 against a state average of $7,126. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,694 was 23% below the state average of $21,732. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $112,254 was 76% above the state average of $63,627. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,750 was 8% above the state average of $13,651. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $55,850 was 39% above the state average of $40,125.

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.