Pennsylvania / Independence Health System Frick Hospital

CMS certification 390217 · Mount Pleasant, PA

Independence Health System Frick Hospital: charges and Medicare payments

Independence Health System Frick Hospital reported 194 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 2.51 times what it was paid — among the lower ratios in Pennsylvania, number 107 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: 56 stays at an average charge of $27,336, 70% below the national average. It also billed 144 outpatient services, charging 5.58 times what Medicare paid.

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  1. 1Medicare inpatient stays 194
  2. 2Charge ÷ paid, inpatient 2.51×
  3. 3Rank in PA (highest ratio = 1) 107 of 117
  4. 4CMS price-transparency actions 0
DRG 871$27,336DRG 193$26,783DRG 291$25,173DRG 309$12,920DRG 280$21,054DRG 682$24,617DRG 698$30,062DRG 189$26,946DRG 194$21,474DRG 872$14,323
Average charge per stay at Independence Health System Frick Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 10 DRGs that can be compared with the national average, Independence Health System Frick Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC56$27,336-70%$12,393
193 Simple Pneumonia and Pleurisy with MCC27$26,783-55%$8,859
291 Heart Failure and Shock with MCC27$25,173-55%$8,842
309 Cardiac Arrhythmia and Conduction Disorders with CC14$12,920-64%$5,478
280 Acute Myocardial Infarction, Discharged Alive with MCC13$21,054-72%$10,543
682 Renal Failure with MCC12$24,617-63%$10,283
698 Other Kidney and Urinary Tract Diagnoses with MCC12$30,062-59%$11,466
189 Pulmonary Edema and Respiratory Failure11$26,946-53%$9,374
194 Simple Pneumonia and Pleurisy with CC11$21,474-44%$5,669
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC11$14,323-71%$7,080

Outpatient services

Service (APC)ServicesAvg chargeMedicare allowed
Level 1 Intraocular Procedures53$12,272$2,081
Level 1 Nerve Procedures50$5,387$1,725
Comprehensive Observation Services28$9,712$2,382
Level 2 Upper GI Procedures13$5,557$1,700

Against the Pennsylvania average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Independence Health System Frick Hospital charged $27,336 on average, 69% less than the Pennsylvania average of $88,167, and was paid $12,393 against a state average of $16,881. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Independence Health System Frick Hospital charged $26,783 on average, 55% less than the Pennsylvania average of $59,404, and was paid $8,859 against a state average of $11,319. For Heart Failure and Shock with MCC (DRG 291), Independence Health System Frick Hospital charged $25,173 on average, 56% less than the Pennsylvania average of $57,362, and was paid $8,842 against a state average of $11,112. For Cardiac Arrhythmia and Conduction Disorders with CC (DRG 309), Independence Health System Frick Hospital charged $12,920 on average, 64% less than the Pennsylvania average of $36,112, and was paid $5,478 against a state average of $6,780. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,272 was 15% below the state average of $14,403. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $5,387 was 57% below the state average of $12,623. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,712 was 55% below the state average of $21,732. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $5,557 was 64% below the state average of $15,366.

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.