Upmc Williamsport
UPMC Williamsport in Williamsport, PA charges 5.9x the Medicare reimbursement rate across 74 analyzed procedures, representing a significant markup for this nonprofit hospital.
Williamsport, PA 17701 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
5.93x
Charge / Medicare rate
Max markup
9.04x
Worst procedure
Procedures analyzed
74
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 INTRALUMINAL DEVICE WITHOUT MCC | 322 | $96,935 | $48,467 | — | 9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $92,888 | $46,444 | — | 8.2x |
| PSYCHOSES | 885 | $68,714 | $34,357 | — | 8.1x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $263,368 | $131,684 | — | 7.7x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $57,809 | $28,904 | — | 7.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $60,615 | $30,308 | — | 7.4x |
| CELLULITIS WITHOUT MCC | 603 | $36,598 | $18,299 | — | 7.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $58,021 | $29,011 | — | 7.2x |
| SEIZURES WITHOUT MCC | 101 | $37,514 | $18,757 | — | 7.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $72,560 | $36,280 | — | 7x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $47,536 | $23,768 | — | 6.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $31,691 | $15,846 | — | 6.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $132,807 | $66,403 | — | 6.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $161,557 | $80,778 | — | 6.7x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $301,642 | $150,821 | — | 6.7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $98,888 | $49,444 | — | 6.7x |
| HYPERTENSION WITHOUT MCC | 305 | $25,904 | $12,952 | — | 6.6x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $99,490 | $49,745 | — | 6.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $85,342 | $42,671 | — | 6.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $29,729 | $14,864 | — | 6.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $49,205 | $24,603 | — | 6.5x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $126,458 | $63,229 | — | 6.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $36,324 | $18,162 | — | 6.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $38,007 | $19,003 | — | 6.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $32,204 | $16,102 | — | 6.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $148,799 | $74,399 | — | 6.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $36,943 | $18,471 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $16,378 | $8,189 | — | 6.3x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $30,126 | $15,063 | — | 6.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $81,734 | $40,867 | — | 6.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $30,679 | $15,340 | — | 6.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $73,333 | $36,666 | — | 6.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $27,805 | $13,902 | — | 6.1x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $150,658 | $75,329 | — | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $35,770 | $17,885 | — | 6x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $204,639 | $102,320 | — | 6x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $189,041 | $94,521 | — | 6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $47,382 | $23,691 | — | 5.9x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $58,000 | $29,000 | — | 5.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $52,448 | $26,224 | — | 5.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $103,537 | $51,769 | — | 5.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $30,425 | $15,212 | — | 5.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $24,480 | $12,240 | — | 5.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $213,826 | $106,913 | — | 5.7x |
| RENAL FAILURE WITH MCC | 682 | $55,288 | $27,644 | — | 5.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $47,194 | $23,597 | — | 5.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $29,774 | $14,887 | — | 5.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $72,010 | $36,005 | — | 5.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $36,107 | $18,053 | — | 5.6x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $97,292 | $48,646 | — | 5.5x |
Showing 50 of 74 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