Ungraded
#56 nationally
Upmc Kane
4372 Route 6, Kane, PA 16735
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Upmc Kane billed $2.61 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
- 2.6x
- volume-weighted across all its priced work
- Procedures priced
- 7
- inpatient and outpatient combined
- Rank in PA
- #5
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
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 |
71 | $9,486 | $2,618 | -51% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
33 | $7,445 | $1,847 | -34% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
18 | $4,076 | $1,551 | -60% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
15 | $14,532 | $11,603 | -67% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
13 | $6,156 | $1,538 | -45% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
11 | $12,500 | $7,313 | -58% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
11 | $8,633 | $3,096 | -58% |
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 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$7,445 | $1,847 | -34% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$6,156 | $1,538 | -45% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$9,486 | $2,618 | -51% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$8,633 | $3,096 | -58% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$12,500 | $7,313 | -58% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,076 | $1,551 | -60% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$14,532 | $11,603 | -67% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$14,532 | $11,603 | -67% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,076 | $1,551 | -60% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$12,500 | $7,313 | -58% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$8,633 | $3,096 | -58% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$9,486 | $2,618 | -51% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$6,156 | $1,538 | -45% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$7,445 | $1,847 | -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.