42/100
#1,543 nationally
Upmc Horizon
110 North Main Street, Greenville, PA 16125 · (724) 588-2100
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Upmc Horizon billed $5.56 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
- 5.6x
- volume-weighted across all its priced work
- Procedures priced
- 27
- inpatient and outpatient combined
- Rank in PA
- #66
- 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 41% of U.S. hospitals.
Better than 39% of U.S. hospitals.
Better than 42% of U.S. hospitals.
Better than 49% 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
79 | $63,444 | $11,740 | about average |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
65 | $16,901 | $1,819 | +31% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
59 | $25,473 | $3,114 | +23% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
48 | $48,404 | $4,589 | +76% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
46 | $9,271 | $1,448 | -8% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
41 | $8,215 | $1,725 | -28% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
39 | $32,677 | $9,450 | -25% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
38 | $39,918 | $9,509 | -14% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
33 | $18,162 | $2,386 | -7% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
29 | $45,917 | $12,618 | -30% |
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 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$48,404 | $4,589 | +76% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$31,585 | $2,891 | +55% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$25,741 | $2,793 | +42% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$52,277 | $6,390 | +31% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$16,901 | $1,819 | +31% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$25,473 | $3,114 | +23% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$14,081 | $1,699 | +20% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$22,316 | $2,847 | +17% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$45,917 | $12,618 | -30% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$8,215 | $1,725 | -28% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$32,677 | $9,450 | -25% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$25,488 | $6,757 | -16% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$39,918 | $9,509 | -14% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$10,159 | $1,375 | -10% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$27,840 | $5,970 | -9% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$29,352 | $6,246 | -9% |
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.