93/100
#34 nationally
Heritage Valley Sewickley
720 Blackburn Road, Sewickley, PA 15143 · (412) 741-6600
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Heritage Valley Sewickley billed $2.28 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
- 2.3x
- volume-weighted across all its priced work
- Procedures priced
- 40
- inpatient and outpatient combined
- Rank in PA
- #4
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 89% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 95% of U.S. hospitals.
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 |
200 | $3,943 | $2,081 | -66% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
136 | $29,718 | $11,666 | -52% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
68 | $9,810 | $3,044 | -52% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
65 | $17,226 | $8,557 | -60% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
52 | $9,528 | $2,407 | -51% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
44 | $5,016 | $1,172 | -50% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
39 | $9,882 | $4,622 | -64% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
35 | $22,149 | $12,537 | -66% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
35 | $40,728 | $16,610 | -51% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
32 | $45,616 | $23,691 | -69% |
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 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$10,146 | $2,847 | -47% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$17,000 | $6,140 | -48% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,016 | $1,172 | -50% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$40,728 | $16,610 | -51% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$9,528 | $2,407 | -51% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$5,755 | $1,699 | -51% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$29,718 | $11,666 | -52% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$9,810 | $3,044 | -52% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$13,373 | $9,129 | -72% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$11,070 | $5,769 | -72% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$45,616 | $23,691 | -69% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$10,042 | $5,641 | -67% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$58,794 | $30,697 | -67% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$3,943 | $2,081 | -66% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$15,458 | $6,656 | -66% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$22,149 | $12,537 | -66% |
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.