Pennsylvania / Phoenixville Hospital
CMS certification 390127 · Phoenixville, PA · 5 entries in CMS's price-transparency list
Phoenixville Hospital: charges and Medicare payments
Phoenixville Hospital reported 1,413 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 5.82 times what it was paid — among the higher ratios in Pennsylvania, number 34 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: 161 stays at an average charge of $81,239, 10% below the national average. It also billed 1,944 outpatient services, charging 7.66 times what Medicare paid.
- 1Medicare inpatient stays 1,413
- 2Charge ÷ paid, inpatient 5.82×
- 3Rank in PA (highest ratio = 1) 34 of 117
- 4CMS price-transparency actions 5
Inpatient stays
For the 52 DRGs that can be compared with the national average, Phoenixville Hospital charged more than the national average in 31 (60%). 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 | 161 | $81,239 | -10% | $14,867 |
| 291 Heart Failure and Shock with MCC | 104 | $56,404 | 0% | $10,466 |
| 193 Simple Pneumonia and Pleurisy with MCC | 52 | $71,282 | +19% | $11,216 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 46 | $45,668 | +26% | $6,452 |
| 690 Kidney and Urinary Tract Infections without MCC | 45 | $39,974 | +6% | $6,550 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 42 | $44,226 | +10% | $6,510 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 38 | $143,685 | -8% | $25,478 |
| 189 Pulmonary Edema and Respiratory Failure | 37 | $65,018 | +13% | $10,221 |
| 177 Respiratory Infections and Inflammations with MCC | 34 | $62,797 | -11% | $13,453 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 34 | $35,807 | +25% | $4,810 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $50,985 | -1% | $9,230 |
| 312 Syncope and Collapse | 32 | $50,976 | +12% | $7,147 |
| 378 Gastrointestinal Hemorrhage with CC | 32 | $58,839 | +21% | $8,157 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 29 | $57,993 | +15% | $9,585 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 29 | $79,774 | +9% | $12,813 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 28 | $59,956 | +22% | $8,844 |
| 194 Simple Pneumonia and Pleurisy with CC | 27 | $41,908 | +9% | $6,772 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $36,484 | -2% | $6,486 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $62,739 | +11% | $9,472 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $104,936 | -8% | $15,067 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $48,399 | -20% | $10,152 |
| 603 Cellulitis without MCC | 24 | $40,072 | +7% | $7,689 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 23 | $53,219 | -4% | $7,404 |
| 481 Hip and Femur Procedures except Major Joint with CC | 23 | $81,559 | -19% | $16,137 |
| 552 Medical Back Problems without MCC | 23 | $42,572 | -13% | $7,892 |
| 683 Renal Failure with CC | 23 | $55,128 | +35% | $7,391 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $127,258 | -44% | $37,194 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $77,876 | +3% | $12,408 |
| 149 Dysequilibrium | 18 | $50,819 | +14% | $6,246 |
| 202 Bronchitis and Asthma with CC/MCC | 18 | $62,336 | +35% | $7,939 |
| 057 Degenerative Nervous System Disorders without MCC | 17 | $38,695 | -32% | $9,974 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 17 | $53,439 | +6% | $7,379 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $67,789 | -21% | $13,119 |
| 682 Renal Failure with MCC | 17 | $56,528 | -14% | $11,806 |
| 092 Other Disorders of Nervous System with CC | 16 | $52,263 | +1% | $8,367 |
| 812 Red Blood Cell Disorders without MCC | 16 | $43,489 | -2% | $8,542 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 15 | $44,725 | +13% | $6,976 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 15 | $65,640 | +3% | $10,120 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $153,254 | -6% | $22,772 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $62,079 | +2% | $10,476 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $109,710 | +7% | $16,605 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $131,184 | +17% | $17,868 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $53,713 | -46% | $14,390 |
| 069 Transient Ischemia without Thrombolytic | 13 | $46,041 | -9% | $6,553 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $61,614 | -5% | $10,769 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $48,690 | +7% | $7,791 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $71,037 | +50% | $8,495 |
| 101 Seizures without MCC | 12 | $42,015 | -14% | $7,007 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $104,893 | +7% | $19,081 |
| 884 Organic Disturbances and Intellectual Disability | 12 | $72,048 | +15% | $13,574 |
| 315 Other Circulatory System Diagnoses with CC | 11 | $48,683 | +2% | $7,892 |
| 536 Fractures of Hip and Pelvis without MCC | 11 | $41,814 | +11% | $7,204 |
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Phoenixville Hospital charged $81,239 on average, 8% less than the Pennsylvania average of $88,167, and was paid $14,867 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Phoenixville Hospital charged $56,404 on average, 2% less than the Pennsylvania average of $57,362, and was paid $10,466 against a state average of $11,112. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Phoenixville Hospital charged $71,282 on average, 20% more than the Pennsylvania average of $59,404, and was paid $11,216 against a state average of $11,319. For Cardiac Arrhythmia and Conduction Disorders with CC (DRG 309), Phoenixville Hospital charged $45,668 on average, 26% more than the Pennsylvania average of $36,112, and was paid $6,452 against a state average of $6,780. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,229 was 8% below the state average of $14,403. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,030 was 3% below the state average of $21,732. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $14,840 was 40% below the state average of $24,818. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $31,915 was 12% above the state average of $28,496.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Phoenixville Hospital in Phoenixville, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-11-04 (CMS case 2808)
- Closure Notice — 2025-01-02 (CMS case 2808)
- Met Requirements — 2025-06-27 (CMS case 5401)
- Warning Notice — 2026-04-21 (CMS case 7534)
- Closure Notice — 2026-07-24 (CMS case 7534)
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.