74/100
#521 nationally
Penn Highlands Mon Valley
1163 Country Club Road, Monongahela, PA 15063 · (724) 258-1000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Penn Highlands Mon Valley billed $3.74 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
- 3.7x
- volume-weighted across all its priced work
- Procedures priced
- 27
- inpatient and outpatient combined
- Rank in PA
- #19
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 64% of U.S. hospitals.
Better than 72% of U.S. hospitals.
Better than 83% of U.S. hospitals.
Better than 88% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
74 | $12,696 | $2,316 | -35% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
62 | $7,528 | $1,411 | -25% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
48 | $34,841 | $12,824 | -47% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
32 | $53,204 | $11,740 | -15% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
28 | $22,569 | $8,904 | -48% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
28 | $8,069 | $1,819 | -38% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
23 | $15,871 | $5,887 | -47% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
23 | $19,593 | $7,210 | -50% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
22 | $26,187 | $10,043 | -27% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
18 | $31,901 | $11,372 | -42% |
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 |
|---|---|---|---|
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$136,873 | $20,172 | -5% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$53,204 | $11,740 | -15% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$80,625 | $12,574 | -21% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$15,618 | $2,838 | -24% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$7,528 | $1,411 | -25% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$34,513 | $9,426 | -26% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$26,187 | $10,043 | -27% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$17,215 | $3,405 | -28% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$32,419 | $6,947 | -66% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$27,715 | $10,920 | -51% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$14,891 | $6,345 | -51% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$19,593 | $7,210 | -50% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$10,432 | $2,891 | -49% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$16,969 | $6,479 | -49% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$22,569 | $8,904 | -48% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$13,253 | $2,916 | -47% |
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.