44/100
#1,481 nationally
Upper Valley Medical Center
3130 N Dixie Highway, Troy, OH 45373 · (937) 440-7853
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Upper Valley Medical Center billed $5.46 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
- 5.5x
- volume-weighted across all its priced work
- Procedures priced
- 63
- inpatient and outpatient combined
- Rank in OH
- #82
- 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 36% of U.S. hospitals.
Better than 36% of U.S. hospitals.
Better than 53% of U.S. hospitals.
Better than 66% 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 |
333 | $21,148 | $2,294 | +9% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
243 | $9,159 | $1,600 | -22% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
146 | $12,072 | $1,993 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
139 | $14,148 | $1,363 | +40% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
127 | $65,253 | $14,616 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
114 | $42,533 | $8,559 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
64 | $21,625 | $4,315 | -21% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
58 | $48,225 | $9,040 | +4% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
52 | $49,979 | $4,934 | +42% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
50 | $19,301 | $2,726 | 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 |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$19,455 | $1,742 | +51% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$49,979 | $4,934 | +42% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$14,148 | $1,363 | +40% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$23,461 | $2,366 | +33% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$32,877 | $2,744 | +30% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$74,940 | $11,242 | +20% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$47,532 | $5,987 | +19% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$34,679 | $5,722 | +9% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$24,753 | $6,260 | -39% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$12,658 | $3,477 | -39% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$30,899 | $10,398 | -38% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$50,267 | $12,202 | -34% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$38,758 | $10,203 | -32% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$25,908 | $6,181 | -29% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$27,769 | $7,002 | -26% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$12,260 | $2,400 | -26% |
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.