Pennsylvania / Allegheny Valley Hospital
CMS certification 390032 · Natrona, PA
Allegheny Valley Hospital: charges and Medicare payments
Allegheny Valley Hospital reported 266 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 4.1 times what it was paid — mid-range in Pennsylvania, number 65 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 61 stays at an average charge of $55,922, 38% below the national average. It also billed 519 outpatient services, charging 6.05 times what Medicare paid.
- 1Medicare inpatient stays 266
- 2Charge ÷ paid, inpatient 4.1×
- 3Rank in PA (highest ratio = 1) 65 of 117
- 4CMS price-transparency actions 0
Inpatient stays
For the 10 DRGs that can be compared with the national average, Allegheny Valley Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 61 | $55,922 | -38% | $12,227 |
| 291 Heart Failure and Shock with MCC | 55 | $31,839 | -44% | $8,904 |
| 189 Pulmonary Edema and Respiratory Failure | 33 | $34,556 | -40% | $8,894 |
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $38,060 | -36% | $9,083 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $30,268 | -38% | $7,264 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $30,130 | -60% | $10,080 |
| 683 Renal Failure with CC | 16 | $24,820 | -39% | $6,160 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $57,793 | -18% | $11,416 |
| 682 Renal Failure with MCC | 13 | $34,181 | -48% | $9,336 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $24,496 | -35% | $5,320 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 182 | $17,062 | $2,391 |
| Level 5 Musculoskeletal Procedures | 77 | $45,221 | $11,740 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 36 | $8,910 | $1,428 |
| Level 1 Intraocular Procedures | 31 | $14,899 | $2,082 |
| Level 5 Urology and Related Services | 24 | $20,908 | $4,622 |
| Level 3 Musculoskeletal Procedures | 20 | $13,274 | $2,891 |
| Level 4 Musculoskeletal Procedures | 17 | $29,274 | $6,390 |
| Level 1 Laparoscopy and Related Services | 17 | $22,744 | $4,912 |
| Level 2 Urology and Related Services | 17 | $2,962 | $610 |
| Level 4 Urology and Related Services | 16 | $11,302 | $3,114 |
| Level 1 Nerve Procedures | 16 | $6,772 | $1,724 |
| Level 2 Upper GI Procedures | 15 | $10,027 | $1,699 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 13 | $15,971 | $2,538 |
| Level 2 Musculoskeletal Procedures | 13 | $7,287 | $1,436 |
| Level 3 Vascular Procedures | 13 | $13,829 | $2,672 |
| Level 3 Urology and Related Services | 12 | $12,799 | $1,819 |
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Allegheny Valley Hospital charged $55,922 on average, 37% less than the Pennsylvania average of $88,167, and was paid $12,227 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Allegheny Valley Hospital charged $31,839 on average, 44% less than the Pennsylvania average of $57,362, and was paid $8,904 against a state average of $11,112. For Pulmonary Edema and Respiratory Failure (DRG 189), Allegheny Valley Hospital charged $34,556 on average, 47% less than the Pennsylvania average of $65,329, and was paid $8,894 against a state average of $11,268. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Allegheny Valley Hospital charged $38,060 on average, 36% less than the Pennsylvania average of $59,404, and was paid $9,083 against a state average of $11,319. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,062 was 21% below the state average of $21,732. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $45,221 was 29% below the state average of $63,627. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,910 was 35% below the state average of $13,651. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,899 was 3% above the state average of $14,403.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.