Pennsylvania / Canonsburg General Hospital
CMS certification 390160 · Canonsburg, PA
Canonsburg General Hospital: charges and Medicare payments
Canonsburg General Hospital reported 143 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 5.3 times what it was paid — mid-range in Pennsylvania, number 42 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: 30 stays at an average charge of $57,806, 36% below the national average. It also billed 367 outpatient services, charging 5.56 times what Medicare paid.
- 1Medicare inpatient stays 143
- 2Charge ÷ paid, inpatient 5.3×
- 3Rank in PA (highest ratio = 1) 42 of 117
- 4CMS price-transparency actions 0
Inpatient stays
For the 8 DRGs that can be compared with the national average, Canonsburg General Hospital charged more than the national average in 1 (13%). 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 | 30 | $57,806 | -36% | $11,850 |
| 291 Heart Failure and Shock with MCC | 28 | $38,359 | -32% | $7,810 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $49,605 | -17% | $8,717 |
| 177 Respiratory Infections and Inflammations with MCC | 17 | $75,758 | +7% | $11,794 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $22,866 | -40% | $5,008 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $36,032 | -37% | $7,976 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $30,109 | -25% | $5,083 |
| 683 Renal Failure with CC | 11 | $31,866 | -22% | $5,457 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 141 | $16,467 | $2,403 |
| Level 5 Musculoskeletal Procedures | 103 | $46,127 | $11,740 |
| Level 2 Upper GI Procedures | 48 | $7,789 | $1,671 |
| Level 1 Nerve Procedures | 36 | $12,080 | $1,725 |
| Level 3 Urology and Related Services | 15 | $9,744 | $1,542 |
| Level 5 Urology and Related Services | 13 | $17,462 | $4,622 |
| Level 2 Neurostimulator and Related Procedures | 11 | $18,729 | $3,887 |
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Canonsburg General Hospital charged $57,806 on average, 34% less than the Pennsylvania average of $88,167, and was paid $11,850 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Canonsburg General Hospital charged $38,359 on average, 33% less than the Pennsylvania average of $57,362, and was paid $7,810 against a state average of $11,112. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Canonsburg General Hospital charged $49,605 on average, 16% less than the Pennsylvania average of $59,404, and was paid $8,717 against a state average of $11,319. For Respiratory Infections and Inflammations with MCC (DRG 177), Canonsburg General Hospital charged $75,758 on average, 5% more than the Pennsylvania average of $72,025, and was paid $11,794 against a state average of $14,034. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,467 was 24% below the state average of $21,732. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $46,127 was 28% below the state average of $63,627. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,789 was 49% below the state average of $15,366. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $12,080 was 4% below the state average of $12,623.
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.