Hospital · CCN 390123
Pottstown Hospital
1600 East High Street, Pottstown, PA 19464 · Montgomery County
Part of Tower Health · 185 beds · 1
Metropolitan area high commuting: primary flow 30% or more to a urbanized area of 50,000 and greater
48 admission types 42 outpatient services price file: ok 2 Medicare-file findings
Billed per dollar paid, all admissions
6.99×
$84.1M billed against $12.0M paid across 1,263 Medicare discharges; the national figure is 5.03×.
1.5%
of adults in Montgomery County have medical debt in collections
4.4%
uninsured in the county · state 6.5%
$107K
median household income
4.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (9 in the inpatient or outpatient file)ⓘ
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
162
$83,505
$13,174
6.3× st 5.2×
291
Heart failure and shock with mcc
114
$61,344
$8,955
6.9× st 5.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
53
$48,019
$5,849
8.2× st 5.7×
690
Kidney and urinary tract infections without mcc
45
$45,648
$5,844
7.8× st 5.3×
193
Simple pneumonia and pleurisy with mcc
42
$79,928
$9,567
8.4× st 5.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
41
$59,444
$7,381
8.1× st 5.5×
177
Respiratory infections and inflammations with mcc
39
$72,012
$11,153
6.5× st 5.2×
698
Other kidney and urinary tract diagnoses with mcc
35
$74,273
$11,052
6.7× st 5.2×
689
Kidney and urinary tract infections with mcc
34
$56,424
$8,354
6.8× st 5.3×
603
Cellulitis without mcc
33
$40,876
$6,391
6.4× st 4.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
32
$43,865
$5,722
7.7× st 5.7×
202
Bronchitis and asthma with cc/mcc
28
$45,431
$6,926
6.6× st 5.7×
683
Renal failure with cc
28
$47,743
$6,261
7.6× st 5.4×
312
Syncope and collapse
28
$53,922
$6,271
8.6× st 5.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
28
$163,712
$32,557
5.0× st 5.3×
378
Gastrointestinal hemorrhage with cc
26
$53,625
$7,116
7.5× st 6.1×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
24
$82,259
$13,477
6.1× st 5.0×
069
Transient ischemia without thrombolytic
22
$47,757
$5,832
8.2× st 6.4×
481
Hip and femur procedures except major joint with cc
20
$107,781
$14,175
7.6× st 6.0×
057
Degenerative nervous system disorders without mcc
20
$60,782
$9,205
6.6× st 5.1×
189
Pulmonary edema and respiratory failure
20
$58,863
$8,620
6.8× st 5.9×
309
Cardiac arrhythmia and conduction disorders with cc
20
$49,276
$5,454
9.0× st 5.4×
194
Simple pneumonia and pleurisy with cc
19
$52,875
$5,897
9.0× st 5.6×
389
Gastrointestinal obstruction with cc
19
$46,475
$5,826
8.0× st 5.8×
092
Other disorders of nervous system with cc
18
$76,037
$9,204
8.3× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
17
$72,404
$9,026
8.0× st 5.6×
884
Organic disturbances and intellectual disability
17
$94,623
$12,858
7.4× st 4.5×
149
Dysequilibrium
17
$54,881
$5,462
10.0× st 6.2×
638
Diabetes with cc
16
$58,891
$6,570
9.0× st 5.2×
682
Renal failure with mcc
16
$56,932
$10,315
5.5× st 5.4×
552
Medical back problems without mcc
16
$47,036
$6,982
6.7× st 5.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
16
$71,076
$7,194
9.9× st 6.3×
191
Chronic obstructive pulmonary disease with cc
15
$47,700
$6,435
7.4× st 6.0×
812
Red blood cell disorders without mcc
15
$66,690
$6,662
10.0× st 6.3×
280
Acute myocardial infarction, discharged alive with mcc
14
$75,586
$11,402
6.6× st 5.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
13
$75,549
$9,110
8.3× st 5.8×
305
Hypertension without mcc
13
$47,105
$5,515
8.5× st 5.8×
948
Signs and symptoms without mcc
12
$45,668
$5,840
7.8× st 6.1×
300
Peripheral vascular disorders with cc
12
$61,681
$7,668
8.0× st 5.7×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
12
$34,822
$6,074
5.7× st 5.4×
176
Pulmonary embolism without mcc
12
$57,477
$5,857
9.8× st 6.5×
101
Seizures without mcc
12
$40,269
$6,338
6.4× st 6.1×
699
Other kidney and urinary tract diagnoses with cc
12
$47,278
$7,229
6.5× st 5.2×
377
Gastrointestinal hemorrhage with mcc
12
$74,563
$12,713
5.9× st 5.9×
460
Spinal fusion except cervical without mcc
11
$138,175
$25,404
5.4× st 4.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
11
$99,693
$14,084
7.1× st 6.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
11
$112,008
$14,813
7.6× st 5.7×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
11
$104,459
$13,870
7.5× st 5.7×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
267
$22,678
$2,530
9.0×
5491
Level 1 Intraocular Procedures
107
$11,551
$2,186
5.3×
5115
Level 5 Musculoskeletal Procedures
88
$68,093
$12,218
5.6×
5375
Level 5 Urology and Related Services
77
$29,888
$4,772
6.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
54
$12,860
$1,521
8.5×
5183
Level 3 Vascular Procedures
38
$23,630
$2,990
7.9×
5374
Level 4 Urology and Related Services
38
$20,940
$3,270
6.4×
5113
Level 3 Musculoskeletal Procedures
34
$16,489
$3,037
5.4×
5361
Level 1 Laparoscopy and Related Services
34
$29,318
$5,413
5.4×
5302
Level 2 Upper GI Procedures
32
$7,859
$1,785
4.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
30
$23,356
$2,666
8.8×
5114
Level 4 Musculoskeletal Procedures
26
$46,474
$6,506
7.1×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
22
$17,495
$3,128
5.6×
5373
Level 3 Urology and Related Services
16
$18,031
$1,911
9.4×
5192
Level 2 Endovascular Procedures
14
$27,291
$5,057
5.4×
5376
Level 6 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 6/1/2026, template 3.0.0, 37,812 rows scanned, 3,659 distinct code–setting items kept. No rule fires against it.
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 149
info
inp_charge_10x_payment
average charge $54,881 is 10.0× the total payment
MS-DRG 812
info
inp_charge_10x_payment
average charge $66,690 is 10.0× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Pottstown Hospital — standard charges file · PA · updated 6/1/2026· csv-wide · 38.3M bytes · fetched 2026-08-23 · sha256 c935428981ae…
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.