61/100
#939 nationally
Upmc Hanover
300 Highland Ave, Hanover, PA 17331 · (717) 637-3711
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Upmc Hanover billed $4.12 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
- 4.1x
- volume-weighted across all its priced work
- Procedures priced
- 73
- inpatient and outpatient combined
- Rank in PA
- #37
- 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 52% of U.S. hospitals.
Better than 74% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 69% 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 |
342 | $18,417 | $2,576 | -5% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
189 | $7,461 | $1,775 | -37% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
159 | $44,811 | $10,717 | +3% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
158 | $61,469 | $17,015 | -6% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
143 | $29,514 | $12,295 | -53% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
111 | $13,590 | $3,072 | -46% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
103 | $12,039 | $1,902 | -7% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
81 | $7,656 | $1,434 | -24% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
74 | $21,881 | $4,766 | -20% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
71 | $54,214 | $14,698 | about average |
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 |
|---|---|---|---|
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$48,424 | $7,184 | +45% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$67,729 | $11,919 | +40% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$27,586 | $3,256 | +19% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$55,942 | $10,564 | +18% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$29,559 | $6,178 | +17% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$48,019 | $11,489 | +15% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$23,461 | $3,204 | +14% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
$37,706 | $6,181 | +13% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$29,514 | $12,295 | -53% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$29,909 | $14,559 | -47% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$13,590 | $3,072 | -46% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$48,544 | $19,317 | -43% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$110,427 | $46,383 | -38% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$7,461 | $1,775 | -37% |
|
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major
MS-DRG 556 · Inpatient stay |
$24,792 | $6,743 | -35% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$55,061 | $16,809 | -34% |
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.