Updated April 2026

GI Hemorrhage with MCC in Pennsylvania

95 Pennsylvania hospitals report Medicare totals for this DRG, averaging $15,572 (above the $14,303 national mean), with a 4× spread from $6,130 to $25,806. 7 carry an A grade, 2 carry an F.

GI Hemorrhage with MCC (DRG 378) is a Digestive procedure tracked in CMS Inpatient Payment files. Across Pennsylvania, 2,895 hospitals report payment data for 600,053 total discharges, with an average Medicare payment of $14,303 (median $13,852). The $5,385-to-$33,082 payment range is wide: the same DRG code can attract very different reimbursements across hospitals, reflecting differences in cost structure, patient complexity within the DRG, and regional pricing dynamics. The Medicare DRG system bundles cases by diagnosis-and-procedure groupings, so payment differences within a single DRG mostly track hospital-specific factors rather than case-mix.

Within Pennsylvania, the 2,895 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($14,303) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on GI Hemorrhage with MCC, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

Digestive system DRGs cover appendectomy, bowel surgery, gallbladder, GI bleed, and hepatobiliary procedures. Laparoscopic vs. open approach, case complexity, and complication rates explain most cost variation.

GI Hemorrhage with MCC is Medicare DRG 378 in the Digestive category. National Medicare average for this DRG is $14,303 across 2,895 reporting hospitals. The state-level view here filters that universe down to Pennsylvania only.

Cost Picture in Pennsylvania

Pennsylvania's average for this DRG sits above the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 4× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in Pennsylvania Reporting GI Hemorrhage with MCC

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#	Hospital	City	Payment	Quality	Grade
1	Horsham Clinic Ambler	Ambler	$6,130	Not Rated	C
2	Jefferson Hospital Jefferson Hills	Jefferson Hills	$9,924	★★★☆☆	B
3	St Luke's Hospital - Monroe Campus Stroudsburg	Stroudsburg	$9,984	★★★★☆	B
4	St Lukes Hospital Bethlehem Bethlehem	Bethlehem	$10,150	★★★★★	A
5	Jefferson Health- Northeast Philadelphia	Philadelphia	$10,167	★☆☆☆☆	D
6	Upmc Passavant Pittsburgh	Pittsburgh	$10,365	★★★★☆	B
7	Pennsylvania Hospital Philadelphia	Philadelphia	$10,491	★★★★☆	B
8	Geisinger Wyoming Valley Medical Center Wilkes Barre	Wilkes Barre	$10,640	★★★★☆	B
9	Lehigh Valley Hospital - Pocono East Stroudsburg	East Stroudsburg	$10,777	★★★☆☆	C
10	Children's Hospital Of Philadelphia Philadelphia	Philadelphia	$11,020	Not Rated	C
11	Upmc Greene Waynesburg	Waynesburg	$11,119	Not Rated	C
12	Milton S Hershey Medical Center Hershey	Hershey	$11,175	★★★★☆	A
13	Shriners Hospitals For Children - Philadelphia Philadelphia	Philadelphia	$11,267	Not Rated	C
14	St Luke's Hospital - Upper Bucks Campus Quakertown	Quakertown	$11,538	★★★★☆	B
15	Geisinger Medical Center Muncy Muncy	Muncy	$11,540	Not Rated	C
16	Upmc Hanover Hanover	Hanover	$11,680	★★★☆☆	C
17	Coatesville Va Medical Center Coatesville	Coatesville	$11,860	Not Rated	C
18	Forbes Hospital Monroeville	Monroeville	$11,895	★★★☆☆	C
19	Oss Orthopaedic Hospital York	York	$11,921	Not Rated	C
20	Temple University Hospital Philadelphia	Philadelphia	$12,121	★★★☆☆	C
21	Penn State Health Lancaster Medical Center Lancaster	Lancaster	$12,144	★★★☆☆	C
22	Upmc Mckeesport Hospital Mc Keesport	Mc Keesport	$12,349	★★★☆☆	B
23	Geisinger Jersey Shore Hospital Jersey Shore	Jersey Shore	$12,656	★★★★☆	B
24	Upmc Hamot Erie	Erie	$13,151	★★★★☆	B
25	Wernersville State Hospital Wernersville	Wernersville	$13,169	Not Rated	C
26	Fairmount Behavioral Health System Philadelphia	Philadelphia	$13,212	Not Rated	C
27	Lehigh Valley Hospital Allentown	Allentown	$13,426	★★★★☆	C
28	Barnes-Kasson County Hospital Susquehanna	Susquehanna	$13,430	Not Rated	C
29	Upmc Muncy Muncy	Muncy	$13,716	Not Rated	D
30	Heritage Valley Beaver Beaver	Beaver	$13,833	★★★☆☆	C
31	Canonsburg General Hospital Canonsburg	Canonsburg	$13,949	Not Rated	C
32	Physicians Care Surgical Hospital Royersford	Royersford	$13,950	Not Rated	C
33	Doylestown Hospital Doylestown	Doylestown	$14,493	★★★★☆	B
34	Conemaugh Nason Medical Center Roaring Spring	Roaring Spring	$14,694	★★★☆☆	C
35	Wellspan Chambersburg Hospital Chambersburg	Chambersburg	$14,725	★★★☆☆	B
36	Penn Presbyterian Medical Center Philadelphia	Philadelphia	$14,737	★★★★★	A
37	Saint Vincent Hospital Erie	Erie	$14,800	★★★☆☆	B
38	Hospital Of Univ Of Pennsylvania Philadelphia	Philadelphia	$14,837	★★★★★	A
39	Bucktail Medical Center Renovo	Renovo	$14,846	Not Rated	C
40	Roxborough Memorial Hospital Philadelphia	Philadelphia	$14,851	Not Rated	C
41	Penn Highlands Brookville Brookville	Brookville	$14,948	Not Rated	C
42	Lower Bucks Hospital Bristol	Bristol	$14,986	★★★☆☆	C
43	Jefferson Einstein Philadelphia Hospital Philadelphia	Philadelphia	$15,066	★★☆☆☆	D
44	St Clair Hospital Pittsburgh	Pittsburgh	$15,206	★★★★☆	B
45	Crozer Chester Medical Center Upland	Upland	$15,246	★★☆☆☆	C
46	Torrance State Hospital Torrance	Torrance	$15,329	Not Rated	C
47	St Mary Medical Center Langhorne	Langhorne	$15,562	★★☆☆☆	D
48	Geisinger-Bloomsburg Hospital Bloomsburg	Bloomsburg	$15,572	★★★★☆	B
49	Wellspan Evangelical Community Hospital Lewisburg	Lewisburg	$15,656	★★★★★	A
50	Schuylkill Medical Center - South Jackson Street Pottsville	Pottsville	$15,842	★★★☆☆	C
51	Geisinger-Community Medical Center Scranton	Scranton	$16,171	★★★☆☆	C
52	Excela Health - Frick Hospital Mount Pleasant	Mount Pleasant	$16,186	Not Rated	C
53	Wellspan Good Samaritan Hospital Lebanon	Lebanon	$16,280	★★★★★	A
54	Temple Health - Chestnut Hill Hospital Philadelphia	Philadelphia	$16,302	★★☆☆☆	C
55	Upmc St Margaret Pittsburgh	Pittsburgh	$16,324	★★★☆☆	C
56	Foundations Behavioral Health Doylestown	Doylestown	$16,591	Not Rated	C
57	Upmc Jameson New Castle	New Castle	$16,629	★★★☆☆	C
58	Lehigh Valley Hospital - Dickson City Dickson City	Dickson City	$16,678	★★★★☆	C
59	Robert Packer Hospital Sayre	Sayre	$16,765	★★☆☆☆	C
60	Upmc Altoona Altoona	Altoona	$16,797	★★☆☆☆	C
61	Meadows Psychiatric Center Centre Hall	Centre Hall	$16,833	Not Rated	F
62	St Luke's Hospital - Carbon Campus Lehighton	Lehighton	$17,005	★★★★☆	B
63	Chester County Hospital West Chester	West Chester	$17,022	★★★★☆	B
64	Penn Highlands Mon Valley Monongahela	Monongahela	$17,062	★★☆☆☆	C
65	Washington Hospital, The Washington	Washington	$17,205	★★★☆☆	C
66	Endless Mountains Health Systems Montrose	Montrose	$17,250	★★★☆☆	C
67	Upmc Somerset Somerset	Somerset	$17,340	★★★★☆	B
68	Excela Health Westmoreland Regional Hospital Greensburg	Greensburg	$17,493	★★★★☆	C
69	Main Line Hospital Lankenau Wynnewood	Wynnewood	$17,510	★★★★☆	B
70	Fulton County Medical Center Mcconnellsburg	Mcconnellsburg	$17,674	★★★☆☆	C
71	Riddle Memorial Hospital Media	Media	$17,678	★★★☆☆	B
72	Penn Highlands Tyrone Tyrone	Tyrone	$17,734	Not Rated	C
73	Lehigh Valley Hospital - Hazleton Hazleton	Hazleton	$17,908	★☆☆☆☆	D
74	Advanced Surgical Hospital Washington	Washington	$17,955	Not Rated	C
75	Penn Highlands Elk Saint Marys	Saint Marys	$18,213	★★★☆☆	C
76	Mount Nittany Medical Center State College	State College	$18,232	★★★★★	A
77	Clarion Psychiatric Center Clarion	Clarion	$18,352	Not Rated	C
78	Roxbury Treatment Center Shippensburg	Shippensburg	$18,485	Not Rated	D
79	Wilkes-Barre General Hospital Wilkes-Barre	Wilkes-Barre	$18,654	★☆☆☆☆	F
80	Tower Behavioral Health Reading	Reading	$18,912	Not Rated	C
81	Penn Highlands Huntingdon Huntingdon	Huntingdon	$18,936	★★☆☆☆	C
82	Brooke Glen Behavioral Hospital Fort Washington	Fort Washington	$19,213	Not Rated	C
83	Allegheny Valley Hospital Natrona	Natrona	$19,253	★★★★☆	B
84	Meadville Medical Center Meadville	Meadville	$19,336	★★★☆☆	C
85	Jefferson Einstein Montgomery Hospital East Norriton	East Norriton	$19,670	★★★★☆	B
86	Geisinger-Lewistown Hospital Lewistown	Lewistown	$19,756	★★★★★	B
87	Conemaugh Miners Medical Center Hastings	Hastings	$20,788	Not Rated	D
88	Ahn Emerus Westmoreland, Llc Greensburg	Greensburg	$20,806	Not Rated	C
89	Friends Hospital Philadelphia	Philadelphia	$21,102	Not Rated	D
90	Rothman Orthopaedic Specialty Hospital Bensalem	Bensalem	$21,431	Not Rated	D
91	Bryn Mawr Hospital Bryn Mawr	Bryn Mawr	$21,578	★★★★☆	C
92	Lehigh Valley Hospital - Macungie Macungie	Macungie	$21,684	Not Rated	C
93	Acmh Hospital Kittanning	Kittanning	$21,714	★★☆☆☆	C
94	Upmc Williamsport Williamsport	Williamsport	$22,847	★★★☆☆	C
95	Berwick Hospital Center Berwick	Berwick	$25,806	Not Rated	D

Frequently Asked Questions

How much does gi hemorrhage with mcc cost in Pennsylvania?

GI Hemorrhage with MCC (DRG 378) averages $15,572 in total Medicare payment across 95 Pennsylvania hospitals reporting this code. Within the state, payments span $6,130 to $25,806 — about 4× from cheapest to most expensive.

Is GI Hemorrhage with MCC more or less expensive in Pennsylvania than nationally?

Pennsylvania's state-level average of $15,572 sits above the national Medicare average of $14,303 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 4× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.