Grand View Health: charges and Medicare payments

Grand View Health reported 2,265 Medicare inpatient stays across 77 DRGs in 2024. Across them it charged 4.51 times what it was paid — mid-range in Pennsylvania, number 54 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 155 stays at an average charge of $42,054, 25% below the national average. It also billed 1,531 outpatient services, charging 4.79 times what Medicare paid.

1Medicare inpatient stays 2,265
2Charge ÷ paid, inpatient 4.51×
3Rank in PA (highest ratio = 1) 54 of 117
4CMS price-transparency actions 0

Average charge per stay at Grand View Health, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 77 DRGs that can be compared with the national average, Grand View Health charged more than the national average in 1 (1%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
291 Heart Failure and Shock with MCC	155	$42,054	-25%	$8,911
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	153	$57,828	-36%	$14,210
177 Respiratory Infections and Inflammations with MCC	76	$54,236	-23%	$11,857
193 Simple Pneumonia and Pleurisy with MCC	70	$46,040	-23%	$9,317
690 Kidney and Urinary Tract Infections without MCC	65	$27,495	-27%	$5,698
481 Hip and Femur Procedures except Major Joint with CC	60	$61,274	-39%	$14,020
689 Kidney and Urinary Tract Infections with MCC	56	$41,542	-19%	$8,248
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	55	$30,643	-24%	$5,964
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	55	$28,968	-32%	$6,852
552 Medical Back Problems without MCC	52	$29,486	-40%	$6,675
312 Syncope and Collapse	49	$35,292	-22%	$6,265
683 Renal Failure with CC	48	$29,442	-28%	$6,473
309 Cardiac Arrhythmia and Conduction Disorders with CC	46	$22,999	-36%	$5,160
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	45	$39,888	-28%	$7,679
194 Simple Pneumonia and Pleurisy with CC	41	$29,117	-24%	$5,919
378 Gastrointestinal Hemorrhage with CC	38	$42,045	-13%	$6,953
086 Traumatic Stupor and Coma <1 Hour with CC	37	$43,970	-36%	$9,076
682 Renal Failure with MCC	37	$39,788	-40%	$10,265
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	36	$23,186	-37%	$5,602
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	36	$39,438	-20%	$7,123
603 Cellulitis without MCC	33	$31,712	-15%	$6,478
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	32	$47,847	-21%	$9,471
308 Cardiac Arrhythmia and Conduction Disorders with MCC	31	$39,499	-30%	$8,556
202 Bronchitis and Asthma with CC/MCC	30	$39,438	-15%	$6,780
189 Pulmonary Edema and Respiratory Failure	29	$42,910	-25%	$8,706
190 Chronic Obstructive Pulmonary Disease with MCC	29	$38,493	-24%	$7,958
101 Seizures without MCC	28	$30,936	-37%	$6,768
699 Other Kidney and Urinary Tract Diagnoses with CC	28	$34,035	-28%	$7,366
184 Major Chest Trauma with CC	27	$30,264	-45%	$7,577
605 Trauma To The Skin, Subcutaneous Tissue and Breast without...	27	$34,459	-26%	$7,218
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	26	$63,830	-36%	$15,134
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	26	$57,864	-43%	$15,412
322 Percutaneous Cardiovascular Procedures with Intraluminal...	25	$67,590	-41%	$13,804
178 Respiratory Infections and Inflammations with CC	24	$34,369	-24%	$6,863
389 Gastrointestinal Obstruction with CC	24	$43,568	+12%	$6,187
280 Acute Myocardial Infarction, Discharged Alive with MCC	23	$49,397	-35%	$12,085
377 Gastrointestinal Hemorrhage with MCC	23	$58,574	-31%	$12,391
330 Major Small and Large Bowel Procedures with CC	22	$86,405	-27%	$17,863
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	21	$43,856	-28%	$11,045
071 Other Cerebrovascular Disorders with CC	19	$31,658	-37%	$7,004
087 Traumatic Stupor and Coma <1 Hour without CC/MCC	19	$29,372	-43%	$6,274
460 Spinal Fusion except Cervical without MCC	19	$80,910	-52%	$25,846
853 Infectious and Parasitic Diseases with O.R. Procedures with...	19	$126,112	-45%	$39,181
100 Seizures with MCC	18	$42,190	-55%	$13,428
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	18	$14,567	-49%	$4,133
470 Major Hip and Knee Joint Replacement or Reattachment of...	18	$41,829	-55%	$13,286
698 Other Kidney and Urinary Tract Diagnoses with MCC	18	$48,776	-34%	$10,944
069 Transient Ischemia without Thrombolytic	17	$27,877	-45%	$5,642
329 Major Small and Large Bowel Procedures with MCC	17	$146,745	-32%	$31,245
536 Fractures of Hip and Pelvis without MCC	17	$24,183	-36%	$5,322
066 Intracranial Hemorrhage or Cerebral Infarction without...	16	$29,986	-29%	$5,207
281 Acute Myocardial Infarction, Discharged Alive with CC	16	$33,223	-34%	$6,193
602 Cellulitis with MCC	16	$47,125	-22%	$10,370
661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC	16	$31,417	-45%	$8,660
025 Craniotomy and Endovascular Intracranial Procedures with MCC	15	$127,332	-45%	$31,040
191 Chronic Obstructive Pulmonary Disease with CC	15	$25,626	-35%	$5,817
480 Hip and Femur Procedures except Major Joint with MCC	15	$92,369	-33%	$20,685
964 Other Multiple Significant Trauma with CC	15	$62,896	-20%	$10,365
388 Gastrointestinal Obstruction with MCC	14	$64,867	-5%	$10,663
394 Other Digestive System Diagnoses with CC	14	$26,577	-44%	$6,616

Showing the 60 most frequent of 77 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	293	$35,434	$12,569
Comprehensive Observation Services	203	$21,401	$2,617
Level 2 Excision/ Biopsy/ Incision and Drainage	171	$8,600	$1,552
Level 1 Laparoscopy and Related Services	84	$27,652	$5,566
Level 3 Vascular Procedures	61	$14,706	$3,075
Level 3 Urology and Related Services	59	$11,601	$1,965
Level 3 Excision/ Biopsy/ Incision and Drainage	55	$14,946	$2,741
Level 4 Musculoskeletal Procedures	55	$25,818	$6,802
Level 3 Musculoskeletal Procedures	42	$16,336	$3,063
Level 6 Musculoskeletal Procedures	36	$48,575	$17,938
Level 1 Endovascular Procedures	34	$14,459	$3,082
Level 4 Gynecologic Procedures	31	$12,988	$2,941
Level 2 Breast/Lymphatic Surgery and Related Procedures	30	$36,207	$6,291
Level 2 Upper GI Procedures	30	$10,409	$1,836
Level 1 Intraocular Procedures	30	$13,786	$2,248
Level 4 Airway Endoscopy	28	$18,668	$3,613
Level 2 Laparoscopy and Related Services	28	$47,079	$9,629
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	27	$17,868	$3,338
Level 5 Airway Endoscopy	25	$23,596	$6,603
Level 5 Gynecologic Procedures	24	$24,641	$4,798
Level 1 Breast/Lymphatic Surgery and Related Procedures	23	$21,171	$3,677
Level 4 Urology and Related Services	22	$17,494	$3,363
Level 2 Pacemaker and Similar Procedures	21	$17,845	$8,195
Level 2 Vascular Procedures	20	$7,910	$1,545
Level 3 Pacemaker and Similar Procedures	20	$30,675	$10,292

Against the Pennsylvania average

For Heart Failure and Shock with MCC (DRG 291), Grand View Health charged $42,054 on average, 27% less than the Pennsylvania average of $57,362, and was paid $8,911 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Grand View Health charged $57,828 on average, 34% less than the Pennsylvania average of $88,167, and was paid $14,210 against a state average of $16,881. For Respiratory Infections and Inflammations with MCC (DRG 177), Grand View Health charged $54,236 on average, 25% less than the Pennsylvania average of $72,025, and was paid $11,857 against a state average of $14,034. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Grand View Health charged $46,040 on average, 22% less than the Pennsylvania average of $59,404, and was paid $9,317 against a state average of $11,319. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $35,434 was 44% below the state average of $63,627. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,401 was 2% below the state average of $21,732. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,600 was 37% below the state average of $13,651. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $27,652 was 31% below the state average of $40,125.

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.