Pennsylvania / Roxborough Memorial Hospital
CMS certification 390304 · Philadelphia, PA · 1 entry in CMS's price-transparency list
Roxborough Memorial Hospital: charges and Medicare payments
Roxborough Memorial Hospital reported 293 Medicare inpatient stays across 15 DRGs in 2024. Across them it charged 4.64 times what it was paid — mid-range in Pennsylvania, number 52 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: 58 stays at an average charge of $92,298, 2% above the national average.
- 1Medicare inpatient stays 293
- 2Charge ÷ paid, inpatient 4.64×
- 3Rank in PA (highest ratio = 1) 52 of 117
- 4CMS price-transparency actions 1
Inpatient stays
For the 15 DRGs that can be compared with the national average, Roxborough Memorial Hospital charged more than the national average in 5 (33%). 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 | 58 | $92,298 | +2% | $17,874 |
| 291 Heart Failure and Shock with MCC | 45 | $50,923 | -10% | $12,013 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 20 | $202,819 | -37% | $51,641 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $66,963 | +16% | $12,139 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $64,633 | -8% | $14,326 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $55,702 | -7% | $11,661 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $31,361 | -15% | $7,432 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $39,412 | -35% | $11,563 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $40,369 | +1% | $7,937 |
| 682 Renal Failure with MCC | 14 | $53,360 | -19% | $13,723 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $260,729 | +14% | $48,068 |
| 603 Cellulitis without MCC | 13 | $55,178 | +48% | $9,366 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $49,390 | -11% | $9,808 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $61,489 | -19% | $14,562 |
| 312 Syncope and Collapse | 11 | $26,293 | -42% | $7,418 |
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Roxborough Memorial Hospital charged $92,298 on average, 5% more than the Pennsylvania average of $88,167, and was paid $17,874 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Roxborough Memorial Hospital charged $50,923 on average, 11% less than the Pennsylvania average of $57,362, and was paid $12,013 against a state average of $11,112. For Septicemia or Severe Sepsis with MV >96 Hours (DRG 870), Roxborough Memorial Hospital charged $202,819 on average, 42% less than the Pennsylvania average of $348,655, and was paid $51,641 against a state average of $62,403. For Pulmonary Edema and Respiratory Failure (DRG 189), Roxborough Memorial Hospital charged $66,963 on average, 3% more than the Pennsylvania average of $65,329, and was paid $12,139 against a state average of $11,268.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Roxborough Memorial 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 — 2025-07-22 (CMS case 5892)
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.