Mount Nittany Medical Center
Mount Nittany Medical Center in State College, PA charges 3.9x the Medicare reimbursement rate across 55 analyzed procedures at this nonprofit hospital.
State College, PA 16803 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
3.94x
Charge / Medicare rate
Max markup
5.46x
Worst procedure
Procedures analyzed
55
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $43,187 | $21,593 | — | 5.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $67,313 | $33,656 | — | 5.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $24,592 | $12,296 | — | 5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $25,818 | $12,909 | — | 4.9x |
| SYNCOPE AND COLLAPSE | 312 | $28,572 | $14,286 | — | 4.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $67,247 | $33,623 | — | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $35,259 | $17,630 | — | 4.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $37,051 | $18,526 | — | 4.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $45,357 | $22,679 | — | 4.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $103,987 | $51,993 | — | 4.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $41,231 | $20,616 | — | 4.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $27,479 | $13,739 | — | 4.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $25,668 | $12,834 | — | 4.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $24,509 | $12,255 | — | 4.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $31,175 | $15,588 | — | 4.5x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $84,927 | $42,464 | — | 4.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $24,358 | $12,179 | — | 4.5x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $25,573 | $12,786 | — | 4.4x |
| RENAL FAILURE WITH CC | 683 | $28,856 | $14,428 | — | 4.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $71,756 | $35,878 | — | 4.3x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $27,934 | $13,967 | — | 4.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $31,006 | $15,503 | — | 4.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $68,797 | $34,398 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $29,518 | $14,759 | — | 4.2x |
| HYPERTENSION WITHOUT MCC | 305 | $20,210 | $10,105 | — | 4.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $36,477 | $18,239 | — | 4.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $33,218 | $16,609 | — | 4.1x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $30,659 | $15,329 | — | 4x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $29,732 | $14,866 | — | 4x |
| CELLULITIS WITHOUT MCC | 603 | $24,154 | $12,077 | — | 3.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $26,218 | $13,109 | — | 3.8x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $21,964 | $10,982 | — | 3.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $36,331 | $18,165 | — | 3.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $38,663 | $19,331 | — | 3.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $30,125 | $15,062 | — | 3.5x |
| DIABETES WITH MCC | 637 | $41,940 | $20,970 | — | 3.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $23,103 | $11,552 | — | 3.5x |
| RENAL FAILURE WITH MCC | 682 | $40,309 | $20,155 | — | 3.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $33,669 | $16,834 | — | 3.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $49,642 | $24,821 | — | 3.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $41,481 | $20,740 | — | 3.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $48,731 | $24,365 | — | 3.4x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $127,820 | $63,910 | — | 3.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $22,402 | $11,201 | — | 3.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $41,352 | $20,676 | — | 3.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $31,604 | $15,802 | — | 3.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $52,104 | $26,052 | — | 3.2x |
| CELLULITIS WITH MCC | 602 | $35,702 | $17,851 | — | 3.1x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $32,519 | $16,259 | — | 3.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $37,881 | $18,941 | — | 3x |
Showing 50 of 55 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use