Saint Vincent Hospital
Saint Vincent Hospital in Erie, PA charges 7.5x the Medicare reimbursement rate on average across 65 analyzed procedures at this nonprofit-private facility.
Erie, PA 16544 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
7.47x
Charge / Medicare rate
Max markup
12.12x
Worst procedure
Procedures analyzed
65
With pricing data
Outlier procedures
1.5%
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 | $134,066 | $67,033 | — | 12.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $58,842 | $29,421 | — | 10.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $26,445 | $13,223 | — | 10.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $74,283 | $37,142 | — | 10.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $177,040 | $88,520 | — | 9.8x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $350,870 | $175,435 | — | 9.3x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $219,584 | $109,792 | — | 9.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $109,241 | $54,620 | — | 9.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $106,167 | $53,084 | — | 8.6x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $239,686 | $119,843 | — | 8.6x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $175,288 | $87,644 | — | 8.6x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $134,089 | $67,045 | — | 8.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $41,709 | $20,855 | — | 8.4x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $148,190 | $74,095 | — | 8.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $34,742 | $17,371 | — | 8.3x |
| PSYCHOSES | 885 | $59,319 | $29,659 | — | 8.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $43,501 | $21,751 | — | 8.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $35,762 | $17,881 | — | 8.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $33,233 | $16,617 | — | 8.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $126,450 | $63,225 | — | 8.1x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $200,001 | $100,001 | — | 8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $180,643 | $90,322 | — | 7.8x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $45,279 | $22,639 | — | 7.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $45,529 | $22,764 | — | 7.7x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $348,845 | $174,423 | — | 7.6x |
| DIABETES WITH MCC | 637 | $64,073 | $32,036 | — | 7.6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $273,095 | $136,547 | — | 7.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $49,693 | $24,846 | — | 7.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $73,944 | $36,972 | — | 7.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $93,007 | $46,503 | — | 7.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $51,091 | $25,545 | — | 7.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $54,206 | $27,103 | — | 7.4x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $35,986 | $17,993 | — | 7.4x |
| DIABETES WITH CC | 638 | $37,050 | $18,525 | — | 7.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $34,587 | $17,293 | — | 7.4x |
| SYNCOPE AND COLLAPSE | 312 | $36,485 | $18,243 | — | 7.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $60,719 | $30,360 | — | 7.3x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $291,176 | $145,588 | — | 7.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $43,767 | $21,884 | — | 7.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $183,363 | $91,681 | — | 7.2x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $131,504 | $65,752 | — | 7.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $44,153 | $22,077 | — | 7.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $129,680 | $64,840 | — | 6.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $31,241 | $15,620 | — | 6.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $47,433 | $23,717 | — | 6.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $69,992 | $34,996 | — | 6.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $80,839 | $40,419 | — | 6.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $38,447 | $19,223 | — | 6.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $92,022 | $46,011 | — | 6.6x |
| RENAL FAILURE WITH CC | 683 | $37,333 | $18,667 | — | 6.6x |
Showing 50 of 65 procedures
How SAINT VINCENT HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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