32/100
#1,837 nationally
West Penn Hospital
4800 Friendship Avenue, Pittsburgh, PA 15224 · (412) 578-5000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, West Penn Hospital billed $5.98 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
- 6.0x
- volume-weighted across all its priced work
- Procedures priced
- 55
- inpatient and outpatient combined
- Rank in PA
- #81
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 25% of U.S. hospitals.
Better than 42% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 30% 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 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
228 | $10,512 | $1,654 | -11% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
134 | $21,322 | $2,401 | +10% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
101 | $52,830 | $8,890 | -12% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
78 | $12,849 | $1,512 | about average |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
78 | $16,548 | $2,746 | -9% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
65 | $30,409 | $2,507 | +72% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
63 | $12,900 | $1,437 | +28% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
60 | $18,844 | $2,800 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
56 | $32,003 | $4,937 | -9% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
52 | $17,634 | $2,838 | -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 |
|---|---|---|---|
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 809 · Inpatient stay |
$126,780 | $20,399 | +131% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$88,519 | $13,032 | +90% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
$71,989 | $6,749 | +76% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$136,438 | $19,692 | +74% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$113,284 | $18,506 | +74% |
|
Malignancy, Female Reproductive System with Complications
MS-DRG 755 · Inpatient stay |
$69,753 | $8,952 | +73% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$30,409 | $2,507 | +72% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$37,129 | $3,090 | +60% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$11,353 | $2,508 | -32% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$17,634 | $2,838 | -30% |
|
Stomach, Esophageal and Duodenal Procedures without Complications/mcc
MS-DRG 328 · Inpatient stay |
$54,014 | $13,156 | -29% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$14,829 | $3,114 | -28% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$65,092 | $16,378 | -19% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$95,713 | $23,651 | -15% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$17,735 | $2,747 | -13% |
|
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with
MS-DRG 617 · Inpatient stay |
$65,190 | $14,153 | -12% |
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.