Pennsylvania / UPMC Hanover
CMS certification 390233 · Hanover, PA · 1 entry in CMS's price-transparency list
UPMC Hanover: charges and Medicare payments
UPMC Hanover reported 1,401 Medicare inpatient stays across 48 DRGs in 2024. Across them it charged 3.93 times what it was paid — mid-range in Pennsylvania, number 71 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: 159 stays at an average charge of $44,811, 21% below the national average. It also billed 1,551 outpatient services, charging 5.52 times what Medicare paid.
- 1Medicare inpatient stays 1,401
- 2Charge ÷ paid, inpatient 3.93×
- 3Rank in PA (highest ratio = 1) 71 of 117
- 4CMS price-transparency actions 1
Inpatient stays
For the 48 DRGs that can be compared with the national average, UPMC Hanover charged more than the national average in 3 (6%). 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 | 159 | $44,811 | -21% | $10,717 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 158 | $61,469 | -32% | $17,015 |
| 177 Respiratory Infections and Inflammations with MCC | 71 | $54,214 | -23% | $14,698 |
| 690 Kidney and Urinary Tract Infections without MCC | 61 | $26,476 | -30% | $6,725 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 54 | $33,370 | -32% | $8,758 |
| 189 Pulmonary Edema and Respiratory Failure | 44 | $67,729 | +18% | $11,919 |
| 683 Renal Failure with CC | 44 | $31,326 | -23% | $7,794 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 41 | $38,901 | -30% | $8,956 |
| 378 Gastrointestinal Hemorrhage with CC | 40 | $37,427 | -23% | $8,041 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $49,445 | -17% | $12,768 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 31 | $31,865 | -12% | $6,857 |
| 194 Simple Pneumonia and Pleurisy with CC | 30 | $34,092 | -11% | $6,842 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $26,884 | -33% | $6,428 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 29 | $48,019 | -5% | $11,489 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $42,440 | -42% | $14,210 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 27 | $80,559 | -28% | $19,499 |
| 481 Hip and Femur Procedures except Major Joint with CC | 26 | $55,061 | -45% | $16,809 |
| 603 Cellulitis without MCC | 25 | $26,599 | -29% | $7,331 |
| 178 Respiratory Infections and Inflammations with CC | 24 | $35,069 | -23% | $8,162 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 23 | $55,942 | -1% | $10,564 |
| 682 Renal Failure with MCC | 23 | $36,372 | -45% | $12,132 |
| 312 Syncope and Collapse | 21 | $31,780 | -30% | $7,273 |
| 377 Gastrointestinal Hemorrhage with MCC | 20 | $74,933 | -12% | $16,425 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $49,147 | -18% | $10,748 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $34,722 | -32% | $9,617 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $76,191 | -33% | $16,234 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 18 | $30,763 | -35% | $8,407 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $110,427 | -52% | $46,383 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 16 | $58,053 | -11% | $11,480 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 16 | $37,928 | -41% | $10,323 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 16 | $29,559 | +3% | $6,178 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 16 | $48,544 | -53% | $19,317 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 15 | $98,345 | -28% | $24,204 |
| 556 Signs and Symptoms of Musculoskeletal System and Connective... | 15 | $24,792 | -39% | $6,743 |
| 305 Hypertension without MCC | 14 | $37,706 | -6% | $6,181 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $27,081 | -27% | $6,366 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $52,457 | -47% | $16,349 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 12 | $33,628 | -21% | $6,121 |
| 069 Transient Ischemia without Thrombolytic | 12 | $35,635 | -29% | $7,306 |
| 314 Other Circulatory System Diagnoses with MCC | 12 | $71,094 | -25% | $17,097 |
| 637 Diabetes with MCC | 12 | $29,909 | -55% | $14,559 |
| 812 Red Blood Cell Disorders without MCC | 12 | $36,285 | -18% | $8,740 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 11 | $48,424 | +22% | $7,184 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 11 | $60,662 | -35% | $13,536 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 11 | $53,503 | -31% | $12,914 |
| 602 Cellulitis with MCC | 11 | $46,729 | -22% | $12,024 |
| 638 Diabetes with CC | 11 | $29,168 | -30% | $7,565 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $65,747 | -33% | $20,574 |
Outpatient services
Against the Pennsylvania average
For Heart Failure and Shock with MCC (DRG 291), UPMC Hanover charged $44,811 on average, 22% less than the Pennsylvania average of $57,362, and was paid $10,717 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), UPMC Hanover charged $61,469 on average, 30% less than the Pennsylvania average of $88,167, and was paid $17,015 against a state average of $16,881. For Respiratory Infections and Inflammations with MCC (DRG 177), UPMC Hanover charged $54,214 on average, 25% less than the Pennsylvania average of $72,025, and was paid $14,698 against a state average of $14,034. For Kidney and Urinary Tract Infections without MCC (DRG 690), UPMC Hanover charged $26,476 on average, 28% less than the Pennsylvania average of $36,664, and was paid $6,725 against a state average of $7,034. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,417 was 15% below the state average of $21,732. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,461 was 51% below the state average of $15,366. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $29,514 was 54% below the state average of $63,627. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $13,590 was 52% below the state average of $28,496.
Price-transparency record
CMS's enforcement list records these actions for a hospital named UPMC Hanover in Hanover, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-03 (CMS case 3563)
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.