56/100
#1,090 nationally
Upmc Northwest
100 Fairfield Drive, Seneca, PA 16346 · (814) 676-7600
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Upmc Northwest billed $4.21 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
- 4.2x
- volume-weighted across all its priced work
- Procedures priced
- 39
- inpatient and outpatient combined
- Rank in PA
- #49
- 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 56% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 65% of U.S. hospitals.
Better than 23% 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 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
109 | $14,502 | $1,819 | +12% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
93 | $17,836 | $2,361 | -8% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
83 | $14,327 | $3,035 | -31% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
79 | $28,829 | $8,923 | -34% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
76 | $8,859 | $610 | +182% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
68 | $48,653 | $13,002 | -25% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
47 | $12,116 | $1,448 | +20% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
47 | $19,202 | $4,543 | -30% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
44 | $41,918 | $9,265 | -10% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
42 | $8,529 | $2,081 | -27% |
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 |
$8,859 | $610 | +182% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$46,445 | $12,972 | +29% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$10,766 | $1,430 | +26% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$14,025 | $1,725 | +24% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$12,116 | $1,448 | +20% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$14,502 | $1,819 | +12% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$17,836 | $2,361 | -8% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$41,918 | $9,265 | -10% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$12,618 | $5,154 | -64% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$8,725 | $3,090 | -62% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$8,275 | $2,792 | -54% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$20,606 | $6,931 | -47% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$32,749 | $10,869 | -47% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$21,962 | $6,269 | -40% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$32,156 | $9,944 | -39% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$20,159 | $5,510 | -38% |
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.