Updated April 2026

Transient Ischemia in Pennsylvania

91 Pennsylvania hospitals report Medicare totals for this DRG, averaging $7,667 (close to the $7,374 national mean), with a 2× spread from $4,910 to $10,875. 6 carry an A grade, 1 carry an F.

Transient Ischemia (DRG 069) is a Neurological procedure tracked in CMS Inpatient Payment files. Across Pennsylvania, 2,604 hospitals report payment data for 540,941 total discharges, with an average Medicare payment of $7,374 (median $7,170). The $2,746-to-$15,148 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 2,604 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($7,374) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Transient Ischemia, 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

Neurology and neurosurgery DRGs span stroke care, craniotomy, spinal procedures, and seizure management. Outcomes vary substantially by hospital volume and stroke-center designation, which the CMS Care Compare site flags directly.

Transient Ischemia is Medicare DRG 069 in the Neurological category. National Medicare average for this DRG is $7,374 across 2,604 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 close to 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 2× 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 Transient Ischemia

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

#	Hospital	City	Payment	Quality	Grade
1	Belmont Behavioral Hospital Philadelphia	Philadelphia	$4,910	Not Rated	C
2	Jefferson Einstein Philadelphia Hospital Philadelphia	Philadelphia	$5,032	★★☆☆☆	D
3	Penn Highlands Dubois Dubois	Dubois	$5,096	★☆☆☆☆	D
4	Upmc Passavant Pittsburgh	Pittsburgh	$5,121	★★★★☆	B
5	St Lukes Hospital Bethlehem Bethlehem	Bethlehem	$5,297	★★★★★	A
6	St Luke's Miners Memorial Hospital Coaldale	Coaldale	$5,642	★★★★☆	B
7	Pottstown Hospital Pottstown	Pottstown	$5,786	★★☆☆☆	D
8	Warren General Hospital Warren	Warren	$5,794	★★☆☆☆	D
9	Holy Redeemer Hospital And Medical Center Meadowbrook	Meadowbrook	$5,799	★★☆☆☆	D
10	Upmc Somerset Somerset	Somerset	$5,909	★★★★☆	B
11	Upmc Children's Hospital Of Pittsburgh Pittsburgh	Pittsburgh	$6,074	Not Rated	C
12	St Christopher's Hospital For Children Philadelphia	Philadelphia	$6,351	Not Rated	C
13	Danville State Hospital Danville	Danville	$6,482	Not Rated	B
14	Foundations Behavioral Health Doylestown	Doylestown	$6,575	Not Rated	C
15	Paoli Hospital Paoli	Paoli	$6,583	★★★★★	A
16	Bryn Mawr Hospital Bryn Mawr	Bryn Mawr	$6,608	★★★★☆	C
17	Jefferson Health- Northeast Philadelphia	Philadelphia	$6,640	★☆☆☆☆	D
18	Punxsutawney Area Hospital Punxsutawney	Punxsutawney	$6,691	Not Rated	C
19	Gettysburg Hospital Gettysburg	Gettysburg	$6,703	★★★★☆	B
20	Temple Health - Chestnut Hill Hospital Philadelphia	Philadelphia	$6,709	★★☆☆☆	C
21	Coatesville Va Medical Center Coatesville	Coatesville	$6,722	Not Rated	C
22	Geisinger Jersey Shore Hospital Jersey Shore	Jersey Shore	$6,727	★★★★☆	B
23	Lancaster General Hospital Lancaster	Lancaster	$6,753	★★★★★	A
24	Lecom Health Corry Memorial Hospital Corry	Corry	$6,785	Not Rated	C
25	Mercy Catholic Medical Center- Mercy Fitzgerald Darby	Darby	$6,800	★★☆☆☆	D
26	Penn Presbyterian Medical Center Philadelphia	Philadelphia	$6,843	★★★★★	A
27	Upmc Kane Kane	Kane	$6,898	Not Rated	C
28	Grove City Medical Center Grove City	Grove City	$6,989	Not Rated	C
29	Uniontown Hospital Uniontown	Uniontown	$7,032	★★☆☆☆	C
30	Clarion Hospital Clarion	Clarion	$7,061	★★☆☆☆	C
31	Wellspan Ephrata Community Hospital Ephrata	Ephrata	$7,126	★★★★☆	B
32	Eagleville Hospital Eagleville	Eagleville	$7,149	Not Rated	C
33	Sharon Regional Medical Center Sharon	Sharon	$7,203	★★☆☆☆	C
34	Suburban Community Hospital Norristown	Norristown	$7,271	★★★☆☆	C
35	Reading Hospital West Reading	West Reading	$7,294	★★★☆☆	B
36	Tower Behavioral Health Reading	Reading	$7,297	Not Rated	C
37	Phoenixville Hospital Phoenixville	Phoenixville	$7,345	★★★☆☆	C
38	Bucktail Medical Center Renovo	Renovo	$7,354	Not Rated	C
39	Geisinger St. Luke's Hospital Orwigsburg	Orwigsburg	$7,367	★★★★☆	B
40	Upmc Jameson New Castle	New Castle	$7,383	★★★☆☆	C
41	Upmc Mercy Pittsburgh	Pittsburgh	$7,450	★★★☆☆	C
42	Ahn Emerus Westmoreland, Llc Greensburg	Greensburg	$7,463	Not Rated	C
43	Physicians Care Surgical Hospital Royersford	Royersford	$7,533	Not Rated	C
44	Upmc Memorial York	York	$7,546	★★★☆☆	C
45	Conemaugh Nason Medical Center Roaring Spring	Roaring Spring	$7,602	★★★☆☆	C
46	Upmc Cole Coudersport	Coudersport	$7,617	★★★★☆	C
47	Advanced Surgical Hospital Washington	Washington	$7,644	Not Rated	C
48	Upmc Carlisle Carlisle	Carlisle	$7,654	★★★☆☆	C
49	Riddle Memorial Hospital Media	Media	$7,752	★★★☆☆	B
50	Barnes-Kasson County Hospital Susquehanna	Susquehanna	$7,762	Not Rated	C
51	Allegheny Valley Hospital Natrona	Natrona	$7,766	★★★★☆	B
52	St Luke's Hospital - Monroe Campus Stroudsburg	Stroudsburg	$7,791	★★★★☆	B
53	Wills Eye Hospital Philadelphia	Philadelphia	$7,885	Not Rated	C
54	Chan Soon- Shiong Medical Center At Windber Windber	Windber	$7,911	★★★☆☆	C
55	Conemaugh Meyersdale Medical Center Meyersdale	Meyersdale	$7,919	Not Rated	C
56	St Luke's Hospital - Easton Campus Easton	Easton	$7,926	★★★☆☆	C
57	Wellspan Good Samaritan Hospital Lebanon	Lebanon	$7,929	★★★★★	A
58	Penn State Health Hampden Medical Center Enola	Enola	$7,995	Not Rated	C
59	Acmh Hospital Kittanning	Kittanning	$8,014	★★☆☆☆	C
60	Mount Nittany Medical Center State College	State College	$8,040	★★★★★	A
61	Penn Highlands Tyrone Tyrone	Tyrone	$8,054	Not Rated	C
62	Robert Packer Hospital Sayre	Sayre	$8,077	★★☆☆☆	C
63	Excela Health Latrobe Hospital Latrobe	Latrobe	$8,077	★★★★☆	C
64	Doylestown Hospital Doylestown	Doylestown	$8,164	★★★★☆	B
65	St Clair Hospital Pittsburgh	Pittsburgh	$8,171	★★★★☆	B
66	Upmc Northwest Seneca	Seneca	$8,193	★★★★☆	C
67	Meadville Medical Center Meadville	Meadville	$8,278	★★★☆☆	C
68	Edgewood Surgical Hospital Transfer	Transfer	$8,514	Not Rated	C
69	Geisinger Medical Center Muncy Muncy	Muncy	$8,542	Not Rated	C
70	Canonsburg General Hospital Canonsburg	Canonsburg	$8,588	Not Rated	C
71	Magee Womens Hospital Of Upmc Health System Pittsburgh	Pittsburgh	$8,595	★★★☆☆	C
72	Penn State Health St. Joseph Reading	Reading	$8,626	★★★★☆	B
73	Regional Hospital Of Scranton Scranton	Scranton	$8,656	★★★☆☆	C
74	Penn Highlands Elk Saint Marys	Saint Marys	$8,696	★★★☆☆	C
75	James E. Van Zandt Va Medical Center (altoona) Altoona	Altoona	$8,806	★★★★☆	B
76	Children's Hospital Of Philadelphia Philadelphia	Philadelphia	$8,902	Not Rated	C
77	Geisinger-Lewistown Hospital Lewistown	Lewistown	$8,940	★★★★★	B
78	Penn Highlands Mon Valley Monongahela	Monongahela	$8,942	★★☆☆☆	C
79	Heritage Valley Sewickley Sewickley	Sewickley	$9,015	★★★★☆	B
80	Jefferson Hospital Jefferson Hills	Jefferson Hills	$9,205	★★★☆☆	B
81	Haven Behavioral Hospital Of West Chester West Chester	West Chester	$9,268	Not Rated	D
82	Penn Highlands Huntingdon Huntingdon	Huntingdon	$9,279	★★☆☆☆	C
83	Crozer Chester Medical Center Upland	Upland	$9,391	★★☆☆☆	C
84	Montgomery County Emergency Service Norristown	Norristown	$9,501	Not Rated	C
85	Wilkes-Barre General Hospital Wilkes-Barre	Wilkes-Barre	$9,816	★☆☆☆☆	F
86	Haven Behavioral Hospital Of Eastern Pennsylvania Reading	Reading	$10,115	Not Rated	C
87	Rothman Orthopaedic Specialty Hospital Bensalem	Bensalem	$10,359	Not Rated	D
88	Geisinger Wyoming Valley Medical Center Wilkes Barre	Wilkes Barre	$10,487	★★★★☆	B
89	Haven Behavioral Hospital Of Philadelphia Philadelphia	Philadelphia	$10,496	Not Rated	C
90	Geisinger Behavioral Health Center Northeast Moosic	Moosic	$10,702	Not Rated	C
91	Lower Bucks Hospital Bristol	Bristol	$10,875	★★★☆☆	C

Frequently Asked Questions

How much does transient ischemia cost in Pennsylvania?

Transient Ischemia (DRG 069) averages $7,667 in total Medicare payment across 91 Pennsylvania hospitals reporting this code. Within the state, payments span $4,910 to $10,875 — about 2× from cheapest to most expensive.

Is Transient Ischemia more or less expensive in Pennsylvania than nationally?

Pennsylvania's state-level average of $7,667 sits close to the national Medicare average of $7,374 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 2× 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.