Pennsylvania / Penn Highlands Dubois
CMS certification 390086 · Dubois, PA · 3 entries in CMS's price-transparency list
Penn Highlands Dubois: charges and Medicare payments
Penn Highlands Dubois reported 1,540 Medicare inpatient stays across 55 DRGs in 2024. Across them it charged 2.61 times what it was paid — among the lower ratios in Pennsylvania, number 103 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: 194 stays at an average charge of $31,962, 65% below the national average. It also billed 2,272 outpatient services, charging 4.11 times what Medicare paid.
- 1Medicare inpatient stays 1,540
- 2Charge ÷ paid, inpatient 2.61×
- 3Rank in PA (highest ratio = 1) 103 of 117
- 4CMS price-transparency actions 3
Inpatient stays
For the 55 DRGs that can be compared with the national average, Penn Highlands Dubois 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 | 194 | $31,962 | -65% | $14,365 |
| 291 Heart Failure and Shock with MCC | 156 | $20,547 | -64% | $9,541 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 59 | $17,972 | -63% | $7,690 |
| 885 Psychoses | 43 | $21,094 | -52% | $10,677 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 42 | $108,018 | -53% | $38,647 |
| 177 Respiratory Infections and Inflammations with MCC | 41 | $21,093 | -70% | $12,155 |
| 378 Gastrointestinal Hemorrhage with CC | 41 | $15,878 | -67% | $7,405 |
| 481 Hip and Femur Procedures except Major Joint with CC | 41 | $42,458 | -58% | $15,129 |
| 552 Medical Back Problems without MCC | 40 | $24,965 | -49% | $7,341 |
| 189 Pulmonary Edema and Respiratory Failure | 39 | $22,279 | -61% | $8,970 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 39 | $36,345 | -61% | $13,703 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $21,898 | -63% | $9,576 |
| 683 Renal Failure with CC | 32 | $15,988 | -61% | $6,659 |
| 682 Renal Failure with MCC | 30 | $19,526 | -70% | $10,110 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $11,925 | -70% | $5,881 |
| 194 Simple Pneumonia and Pleurisy with CC | 28 | $14,828 | -61% | $6,194 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 26 | $24,681 | -56% | $7,416 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 26 | $7,637 | -73% | $4,277 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $13,980 | -63% | $6,140 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 24 | $37,980 | -66% | $15,775 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $63,770 | -44% | $13,298 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $25,279 | -67% | $11,447 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $39,072 | -54% | $12,903 |
| 603 Cellulitis without MCC | 22 | $13,695 | -63% | $6,760 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $21,199 | -65% | $9,266 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 21 | $19,455 | -66% | $9,036 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $10,463 | -71% | $5,725 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $10,793 | -71% | $5,878 |
| 039 Extracranial Procedures without CC/MCC | 18 | $16,316 | -74% | $8,467 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 18 | $45,516 | -54% | $14,856 |
| 689 Kidney and Urinary Tract Infections with MCC | 18 | $18,925 | -63% | $8,247 |
| 312 Syncope and Collapse | 17 | $22,884 | -50% | $6,570 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 17 | $50,855 | -63% | $20,990 |
| 071 Other Cerebrovascular Disorders with CC | 16 | $24,356 | -52% | $7,738 |
| 164 Major Chest Procedures with CC | 16 | $85,627 | -33% | $19,058 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 16 | $20,666 | -68% | $8,352 |
| 389 Gastrointestinal Obstruction with CC | 16 | $13,273 | -66% | $6,235 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 16 | $42,767 | -58% | $15,229 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 15 | $56,045 | -50% | $16,580 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $17,923 | -65% | $6,688 |
| 329 Major Small and Large Bowel Procedures with MCC | 14 | $119,414 | -44% | $38,116 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 14 | $21,804 | -49% | $6,700 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $17,480 | -61% | $7,535 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $34,499 | -71% | $17,618 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $13,951 | -71% | $7,392 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 12 | $47,470 | -35% | $9,249 |
| 271 Other Major Cardiovascular Procedures with CC | 12 | $79,852 | -54% | $25,304 |
| 084 Traumatic Stupor and Coma >1 Hour without CC/MCC | 11 | $25,773 | -52% | $6,986 |
| 253 Other Vascular Procedures with CC | 11 | $47,763 | -64% | $18,696 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 11 | $96,761 | -56% | $34,324 |
| 270 Other Major Cardiovascular Procedures with MCC | 11 | $114,689 | -56% | $32,980 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $87,424 | -47% | $21,187 |
| 394 Other Digestive System Diagnoses with CC | 11 | $19,961 | -58% | $7,581 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $32,015 | -56% | $9,874 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 11 | $101,511 | -53% | $31,559 |
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Penn Highlands Dubois charged $31,962 on average, 64% less than the Pennsylvania average of $88,167, and was paid $14,365 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Penn Highlands Dubois charged $20,547 on average, 64% less than the Pennsylvania average of $57,362, and was paid $9,541 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Penn Highlands Dubois charged $17,972 on average, 64% less than the Pennsylvania average of $49,758, and was paid $7,690 against a state average of $9,077. For Psychoses (DRG 885), Penn Highlands Dubois charged $21,094 on average, 67% less than the Pennsylvania average of $63,773, and was paid $10,677 against a state average of $13,207. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,266 was 56% below the state average of $14,403. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,523 was 42% below the state average of $21,732. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,959 was 56% below the state average of $13,651. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $6,151 was 63% below the state average of $16,557.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Penn Highlands Dubois in Dubois, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-09-10 (CMS case 6540)
- Closure Notice — 2025-12-10 (CMS case 6540)
- Warning Notice — 2026-07-10 (CMS case 8221)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.