Penn Highlands Dubois
Penn Highlands DuBois, a nonprofit hospital in DuBois, PA, charges 3.0x the Medicare reimbursement rate across 52 analyzed procedures.
Dubois, PA 15801 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
No credit card required. Results in 60 seconds.
Pricing grade
C
Average
Avg markup vs Medicare
3.05x
Charge / Medicare rate
Max markup
6.37x
Worst procedure
Procedures analyzed
52
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $65,342 | $32,671 | — | 6.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $21,353 | $10,677 | — | 4.4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $19,055 | $9,528 | — | 4.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $11,205 | $5,602 | — | 4.3x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $32,712 | $16,356 | — | 4.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $23,023 | $11,512 | — | 4.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $23,556 | $11,778 | — | 4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $21,009 | $10,505 | — | 3.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $22,465 | $11,233 | — | 3.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $99,213 | $49,606 | — | 3.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $16,418 | $8,209 | — | 3.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $42,957 | $21,478 | — | 3.6x |
| DIABETES WITH CC | 638 | $15,936 | $7,968 | — | 3.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $15,398 | $7,699 | — | 3.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $19,005 | $9,503 | — | 3.5x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $14,278 | $7,139 | — | 3.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $37,681 | $18,840 | — | 3.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $13,730 | $6,865 | — | 3.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $19,754 | $9,877 | — | 3.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $24,177 | $12,089 | — | 3.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $38,964 | $19,482 | — | 2.9x |
| PSYCHOSES | 885 | $20,205 | $10,102 | — | 2.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $29,856 | $14,928 | — | 2.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $12,755 | $6,377 | — | 2.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $21,886 | $10,943 | — | 2.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $18,604 | $9,302 | — | 2.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $35,437 | $17,718 | — | 2.8x |
| DIABETES WITH MCC | 637 | $24,092 | $12,046 | — | 2.8x |
| RENAL FAILURE WITH CC | 683 | $14,191 | $7,096 | — | 2.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $37,018 | $18,509 | — | 2.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $45,511 | $22,755 | — | 2.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $18,114 | $9,057 | — | 2.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $18,820 | $9,410 | — | 2.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $13,181 | $6,590 | — | 2.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $24,747 | $12,373 | — | 2.6x |
| CELLULITIS WITHOUT MCC | 603 | $13,054 | $6,527 | — | 2.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $19,472 | $9,736 | — | 2.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $24,043 | $12,021 | — | 2.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $11,249 | $5,624 | — | 2.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $14,538 | $7,269 | — | 2.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $10,921 | $5,461 | — | 2.5x |
| RENAL FAILURE WITH MCC | 682 | $22,557 | $11,279 | — | 2.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $73,240 | $36,620 | — | 2.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $30,154 | $15,077 | — | 2.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $32,848 | $16,424 | — | 2.3x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $15,100 | $7,550 | — | 2.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $17,895 | $8,947 | — | 2.3x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $19,937 | $9,969 | — | 2.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $40,587 | $20,293 | — | 2.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $13,784 | $6,892 | — | 2.1x |
Showing 50 of 52 procedures
Got a bill from PENN HIGHLANDS DUBOIS?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Penn Highlands Dubois?
Free guides to help you take action
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