Ungraded
#385 nationally
Punxsutawney Area Hospital
81 Hillcrest Drive, Punxsutawney, PA 15767 · (814) 938-1800
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Punxsutawney Area Hospital billed $2.47 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
- 2.5x
- volume-weighted across all its priced work
- Procedures priced
- 7
- inpatient and outpatient combined
- Rank in PA
- #18
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
109 | $6,644 | $2,580 | -66% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
76 | $8,364 | $2,229 | -29% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
21 | $5,605 | $654 | +79% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
18 | $8,581 | $1,551 | -15% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
16 | $10,442 | $3,335 | -49% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
13 | $16,547 | $16,267 | -75% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
11 | $14,140 | $11,001 | -67% |
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 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$5,605 | $654 | +79% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$8,581 | $1,551 | -15% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$8,364 | $2,229 | -29% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$10,442 | $3,335 | -49% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$6,644 | $2,580 | -66% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$14,140 | $11,001 | -67% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$16,547 | $16,267 | -75% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$16,547 | $16,267 | -75% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$14,140 | $11,001 | -67% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$6,644 | $2,580 | -66% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$10,442 | $3,335 | -49% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$8,364 | $2,229 | -29% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$8,581 | $1,551 | -15% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$5,605 | $654 | +79% |
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.