Healthcare Pricing Data: ERIE, PA
3 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
3
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
8.7x
Across all procedures
vs National Average
+20%
Chargemaster rates
About This Data
ERIE, PA has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 8.7x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in ERIE is OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC (DRG 270), with an average chargemaster rate of $302,050 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $27,302 | 3 | 6.2x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $302,050 | 2 | 8.3x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $285,102 | 2 | 6.3x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $282,903 | 2 | 7.8x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $261,111 | 2 | 9.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $251,552 | 2 | 11.1x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $234,044 | 2 | 10.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $232,457 | 2 | 7.2x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $200,786 | 2 | 7.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $185,629 | 2 | 10.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $180,389 | 2 | 7.3x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $153,997 | 2 | 8.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $153,255 | 2 | 7.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $152,128 | 2 | 8.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $148,567 | 2 | 9.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $132,113 | 2 | 11.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $121,862 | 2 | 8.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $115,383 | 2 | 8.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $114,057 | 2 | 9.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $103,115 | 2 | 8.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $102,417 | 2 | 8.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $100,091 | 2 | 10.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $96,199 | 2 | 7.5x |
| DIABETES WITH MCC | 637 | $94,050 | 2 | 10.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $86,848 | 2 | 7.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $86,763 | 2 | 11.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $85,189 | 2 | 6.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $84,259 | 2 | 9.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $81,229 | 2 | 8.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $78,018 | 2 | 7.6x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in ERIE With Pricing Data
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