Upmc Hanover
UPMC Hanover in Hanover, PA charges 5.2x the Medicare reimbursement rate on average across 45 analyzed procedures, reflecting typical pricing patterns for nonprofit private hospitals.
Hanover, PA 17331 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
No credit card required. Results in 60 seconds.
Pricing grade
D
High
Avg markup vs Medicare
5.17x
Charge / Medicare rate
Max markup
9.17x
Worst procedure
Procedures analyzed
45
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 |
|---|---|---|---|---|---|
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $65,519 | $32,759 | — | 9.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $24,209 | $12,104 | — | 8.2x |
| HYPERTENSION WITHOUT MCC | 305 | $30,394 | $15,197 | — | 8.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $34,775 | $17,387 | — | 7.7x |
| RENAL FAILURE WITH MCC | 682 | $66,707 | $33,354 | — | 7.3x |
| SYNCOPE AND COLLAPSE | 312 | $35,874 | $17,937 | — | 6.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $37,788 | $18,894 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $51,819 | $25,910 | — | 6.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $28,760 | $14,380 | — | 6.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $34,643 | $17,321 | — | 6.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,030 | $13,515 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $36,658 | $18,329 | — | 6.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $40,502 | $20,251 | — | 5.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $28,281 | $14,141 | — | 5.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $26,518 | $13,259 | — | 5.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $39,598 | $19,799 | — | 5.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $46,093 | $23,047 | — | 5.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $37,554 | $18,777 | — | 5.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $85,656 | $42,828 | — | 5.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $75,517 | $37,758 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $25,881 | $12,940 | — | 5.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $45,803 | $22,902 | — | 5.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $34,830 | $17,415 | — | 5.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $84,130 | $42,065 | — | 5x |
| CELLULITIS WITHOUT MCC | 603 | $25,165 | $12,583 | — | 4.9x |
| RENAL FAILURE WITH CC | 683 | $28,727 | $14,363 | — | 4.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $42,554 | $21,277 | — | 4.5x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $31,824 | $15,912 | — | 4.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $53,189 | $26,594 | — | 4.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $31,510 | $15,755 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $56,379 | $28,189 | — | 4.3x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $22,392 | $11,196 | — | 4.2x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $81,527 | $40,764 | — | 4.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $45,591 | $22,796 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $56,049 | $28,024 | — | 4x |
| DIABETES WITH CC | 638 | $24,203 | $12,102 | — | 3.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $57,225 | $28,612 | — | 3.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $42,907 | $21,454 | — | 3.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $42,708 | $21,354 | — | 3.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $45,676 | $22,838 | — | 3.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $25,178 | $12,589 | — | 3.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $51,158 | $25,579 | — | 3.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $36,387 | $18,194 | — | 3.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $49,724 | $24,862 | — | 3.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $88,990 | $44,495 | — | 2.5x |
Got a bill from UPMC HANOVER?
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 Upmc Hanover?
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