86/100
#177 nationally
Upmc Bedford Memorial
10455 Lincoln Highway, Everett, PA 15537 · (814) 623-6161
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Upmc Bedford Memorial billed $2.82 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
- 2.8x
- volume-weighted across all its priced work
- Procedures priced
- 12
- inpatient and outpatient combined
- Rank in PA
- #8
- 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 83% of U.S. hospitals.
Better than 89% of U.S. hospitals.
Better than 85% 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 |
80 | $8,264 | $2,229 | -30% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
69 | $15,944 | $4,950 | -42% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
30 | $14,568 | $2,618 | -25% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
26 | $29,414 | $15,658 | -55% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
25 | $11,043 | $3,335 | -47% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
24 | $30,787 | $11,119 | -34% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
20 | $16,722 | $6,981 | -44% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
16 | $32,605 | $13,262 | -41% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
16 | $26,194 | $10,728 | -40% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
14 | $6,951 | $1,948 | -46% |
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 |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$14,568 | $2,618 | -25% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$8,264 | $2,229 | -30% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$30,787 | $11,119 | -34% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$20,855 | $7,080 | -34% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$26,194 | $10,728 | -40% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$32,605 | $13,262 | -41% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$15,944 | $4,950 | -42% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$16,722 | $6,981 | -44% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$29,414 | $15,658 | -55% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$9,506 | $2,991 | -48% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$11,043 | $3,335 | -47% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$6,951 | $1,948 | -46% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$16,722 | $6,981 | -44% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$15,944 | $4,950 | -42% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$32,605 | $13,262 | -41% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$26,194 | $10,728 | -40% |
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.