59/100
#995 nationally
St Clair Hospital
1000 Bower Hill Road, Pittsburgh, PA 15243 · (412) 942-4000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, St Clair Hospital billed $4.52 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
- 4.5x
- volume-weighted across all its priced work
- Procedures priced
- 80
- inpatient and outpatient combined
- Rank in PA
- #42
- 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 57% of U.S. hospitals.
Better than 61% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 29% 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 |
689 | $9,481 | $2,078 | -19% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
577 | $11,755 | $2,431 | -40% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
197 | $54,240 | $11,740 | -13% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
191 | $8,611 | $1,819 | -33% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
155 | $38,328 | $12,184 | -41% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
137 | $7,203 | $1,440 | -29% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
121 | $20,282 | $4,622 | -26% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
113 | $22,187 | $8,417 | -49% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
107 | $9,723 | $1,700 | -17% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
103 | $16,386 | $3,090 | -21% |
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 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$99,077 | $6,113 | +157% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$171,254 | $19,492 | +112% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$225,860 | $27,655 | +100% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$3,784 | $610 | +21% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$105,899 | $15,631 | +11% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$50,984 | $9,531 | about average |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$181,005 | $31,765 | -4% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$63,706 | $9,819 | -6% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$25,641 | $13,057 | -66% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$17,063 | $7,253 | -58% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$11,519 | $3,683 | -54% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$14,878 | $5,401 | -53% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$26,735 | $9,082 | -53% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$22,005 | $6,554 | -52% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$14,817 | $4,903 | -52% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
$17,490 | $5,514 | -51% |
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.