Pennsylvania / Heritage Valley Beaver
CMS certification 390036 · Beaver, PA
Heritage Valley Beaver: charges and Medicare payments
Heritage Valley Beaver reported 679 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 2.09 times what it was paid — among the lower ratios in Pennsylvania, number 111 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: 97 stays at an average charge of $18,643, 67% below the national average. It also billed 767 outpatient services, charging 4.18 times what Medicare paid.
- 1Medicare inpatient stays 679
- 2Charge ÷ paid, inpatient 2.09×
- 3Rank in PA (highest ratio = 1) 111 of 117
- 4CMS price-transparency actions 0
Inpatient stays
For the 31 DRGs that can be compared with the national average, Heritage Valley Beaver 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 97 | $18,643 | -67% | $10,031 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 84 | $30,263 | -66% | $14,339 |
| 177 Respiratory Infections and Inflammations with MCC | 40 | $26,785 | -62% | $12,300 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $26,230 | -56% | $10,372 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 23 | $15,629 | -72% | $7,567 |
| 690 Kidney and Urinary Tract Infections without MCC | 22 | $13,191 | -65% | $6,963 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 21 | $19,579 | -61% | $9,057 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $13,930 | -76% | $9,974 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $9,904 | -73% | $6,450 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 19 | $9,221 | -68% | $5,045 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $44,402 | -61% | $16,020 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $23,632 | -61% | $10,188 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $12,395 | -68% | $6,545 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 17 | $26,890 | -76% | $16,893 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $15,857 | -72% | $9,204 |
| 682 Renal Failure with MCC | 17 | $21,921 | -67% | $11,226 |
| 683 Renal Failure with CC | 17 | $12,854 | -68% | $7,405 |
| 603 Cellulitis without MCC | 16 | $11,195 | -70% | $7,289 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $16,581 | -66% | $8,156 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 14 | $18,329 | -71% | $8,781 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $66,114 | -71% | $35,070 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $17,561 | -64% | $8,093 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 12 | $76,158 | -51% | $24,428 |
| 312 Syncope and Collapse | 12 | $17,091 | -62% | $7,343 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $57,873 | -51% | $18,521 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $13,096 | -65% | $6,555 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $13,823 | -73% | $7,955 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $15,348 | -62% | $6,938 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $27,726 | -72% | $14,902 |
| 638 Diabetes with CC | 11 | $13,062 | -69% | $7,525 |
| 948 Signs and Symptoms without MCC | 11 | $10,736 | -72% | $6,020 |
Outpatient services
Against the Pennsylvania average
For Heart Failure and Shock with MCC (DRG 291), Heritage Valley Beaver charged $18,643 on average, 67% less than the Pennsylvania average of $57,362, and was paid $10,031 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Heritage Valley Beaver charged $30,263 on average, 66% less than the Pennsylvania average of $88,167, and was paid $14,339 against a state average of $16,881. For Respiratory Infections and Inflammations with MCC (DRG 177), Heritage Valley Beaver charged $26,785 on average, 63% less than the Pennsylvania average of $72,025, and was paid $12,300 against a state average of $14,034. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Heritage Valley Beaver charged $26,230 on average, 56% less than the Pennsylvania average of $59,404, and was paid $10,372 against a state average of $11,319. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $7,660 was 65% below the state average of $21,732. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,537 was 67% below the state average of $13,651. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $8,177 was 71% below the state average of $28,496. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $11,944 was 48% below the state average of $22,799.
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.