95/100
#5 nationally
Independence Health System Clarion Hospital
One Hospital Drive, Clarion, PA 16214 · (814) 226-9500
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Independence Health System Clarion Hospital billed $1.88 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
- 1.9x
- volume-weighted across all its priced work
- Procedures priced
- 12
- inpatient and outpatient combined
- Rank in PA
- #1
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 95% 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 |
229 | $4,653 | $2,221 | -60% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
151 | $9,729 | $2,573 | -50% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
26 | $15,207 | $12,571 | -65% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
26 | $5,902 | $1,551 | -41% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
23 | $23,557 | $19,063 | -64% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
17 | $18,958 | $13,151 | -59% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
14 | $13,859 | $8,361 | -56% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
12 | $14,045 | $12,564 | -71% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
12 | $13,608 | $9,253 | -59% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
12 | $4,733 | $3,890 | -77% |
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 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,902 | $1,551 | -41% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$9,729 | $2,573 | -50% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$13,859 | $8,361 | -56% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,298 | $654 | -59% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$13,608 | $9,253 | -59% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$18,958 | $13,151 | -59% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$4,653 | $2,221 | -60% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$23,557 | $19,063 | -64% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$4,733 | $3,890 | -77% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$14,045 | $12,564 | -71% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$19,121 | $15,984 | -65% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$15,207 | $12,571 | -65% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$23,557 | $19,063 | -64% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$4,653 | $2,221 | -60% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$18,958 | $13,151 | -59% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$13,608 | $9,253 | -59% |
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.