20/100
#2,174 nationally
Upmc Hamot
201 State Street, Erie, PA 16550 · (814) 877-6000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Upmc Hamot billed $7.31 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
- 7.3x
- volume-weighted across all its priced work
- Procedures priced
- 139
- inpatient and outpatient combined
- Rank in PA
- #101
- 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 14% of U.S. hospitals.
Better than 31% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 20% 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 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
196 | $47,254 | $3,428 | +87% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
180 | $140,999 | $17,707 | +116% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
170 | $93,616 | $11,646 | +116% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
139 | $14,488 | $1,689 | +44% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
129 | $81,846 | $13,662 | +31% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
125 | $29,598 | $2,739 | +52% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
113 | $24,678 | $3,344 | +29% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
110 | $34,646 | $3,674 | +68% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
101 | $193,341 | $24,731 | +46% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
99 | $43,533 | $5,418 | +59% |
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 |
$15,017 | $720 | +379% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$121,932 | $13,468 | +130% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$87,445 | $9,468 | +123% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$107,322 | $12,552 | +121% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$28,184 | $2,147 | +118% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$140,999 | $17,707 | +116% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$93,616 | $11,646 | +116% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$318,443 | $34,565 | +114% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$47,812 | $14,525 | -25% |
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
$126,709 | $28,580 | -7% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$78,884 | $19,594 | -5% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
$33,768 | $6,585 | about average |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
$242,284 | $52,496 | about average |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$45,344 | $9,703 | about average |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$39,888 | $8,304 | +7% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
$206,702 | $36,776 | +7% |
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.