Ungraded
#595 nationally
Edgewood Surgical Hospital
239 Edgewood Drive Extension, Transfer, PA 16154 · (724) 646-0400
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Edgewood Surgical Hospital billed $4.19 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.2x
- volume-weighted across all its priced work
- Procedures priced
- 7
- inpatient and outpatient combined
- Rank in PA
- #23
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
415 | $5,563 | $2,081 | -53% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
233 | $55,533 | $11,740 | -11% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
49 | $13,809 | $3,632 | -33% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
37 | $63,640 | $16,610 | -23% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
27 | $8,272 | $1,725 | -27% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
16 | $13,869 | $2,891 | -32% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
14 | $30,760 | $6,390 | -23% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$55,533 | $11,740 | -11% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$30,760 | $6,390 | -23% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$63,640 | $16,610 | -23% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$8,272 | $1,725 | -27% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$13,869 | $2,891 | -32% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$13,809 | $3,632 | -33% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$5,563 | $2,081 | -53% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$5,563 | $2,081 | -53% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$13,809 | $3,632 | -33% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$13,869 | $2,891 | -32% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$8,272 | $1,725 | -27% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$63,640 | $16,610 | -23% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$30,760 | $6,390 | -23% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$55,533 | $11,740 | -11% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.