Pottstown Hospital

1600 East High Street · Pottstown, PA 19464

🤖AI Overview

⚠️ This hospital charges 7.8x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$157.6M

Medicare Payments

$20.1M

Discharges

2,096

Avg Length of Stay

4.8 days

Markup Ratio

7.8x

Risk Score

1.99

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Pottstown Hospital charges an average of $75,183 per discharge, but Medicare only pays $9,597 — a markup of 7.8x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

7.8x

State Avg

6.7x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$75,183

State Avg

$93,705

National Avg

$69,838

Avg Length of Stay

This Hospital

4.8 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

11.4%

65–74

31.6%

75–84

33.8%

85+

23.2%

Gender

55.9%

Female

44.1%

Male

Dual Eligibility

19.2%

Dual Eligible

80.8%

Non-Dual

Race & Ethnicity

White

90.4%

Black

4.4%

Hispanic

1.8%

Other

2.9%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

57.4%

Ischemic Heart Disease

49.1%

Anxiety

46.7%

Chronic Kidney Disease

45.6%

Mood Disorders

45.4%

Depression

41.8%

Diabetes

39.7%

Heart Failure

36.5%

COPD

33.4%

Atrial Fibrillation

32.6%

Stroke/TIA

23.3%

Alzheimer's/Dementia

23.3%

Osteoporosis

19.9%

Tobacco Use

18.4%

Cancer

17.7%

Asthma

16.6%

Substance Use

14.6%

Bipolar Disorder

8.8%

Schizophrenia/Psychosis

6.9%

Parkinson's

5.0%

PTSD

2.5%

ADHD/Conduct Disorders

2.0%

Personality Disorders

1.7%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.