57/100
#1,061 nationally
Upmc Altoona
620 Howard Avenue, Altoona, PA 16601 · (814) 889-2011
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Upmc Altoona billed $4.28 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
- 4.3x
- volume-weighted across all its priced work
- Procedures priced
- 92
- inpatient and outpatient combined
- Rank in PA
- #46
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 49% of U.S. hospitals.
Better than 71% of U.S. hospitals.
Better than 61% of U.S. hospitals.
Better than 41% 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 |
207 | $15,507 | $2,568 | -20% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
170 | $22,004 | $3,122 | -13% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
165 | $61,463 | $15,598 | -6% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
122 | $10,943 | $1,551 | +9% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
111 | $108,070 | $24,750 | -13% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
103 | $31,110 | $9,739 | -28% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
88 | $94,267 | $22,659 | -29% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
83 | $41,522 | $10,406 | -39% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
76 | $30,190 | $5,346 | -14% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
72 | $54,061 | $12,108 | -12% |
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 |
$9,568 | $654 | +205% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$23,691 | $2,991 | +30% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$35,516 | $4,950 | +29% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$13,725 | $1,820 | +17% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$41,888 | $10,213 | +16% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$23,355 | $3,335 | +13% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$10,943 | $1,551 | +9% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$15,265 | $2,073 | +6% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
$21,514 | $7,377 | -45% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$53,146 | $18,596 | -44% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$27,549 | $8,983 | -42% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$14,909 | $4,424 | -41% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$22,453 | $8,127 | -41% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$19,562 | $6,270 | -40% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$41,522 | $10,406 | -39% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$27,345 | $8,903 | -38% |
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.