UPMC Williamsport: charges and Medicare payments

UPMC Williamsport reported 1,889 Medicare inpatient stays across 66 DRGs in 2024. Across them it charged 5.09 times what it was paid — mid-range in Pennsylvania, number 43 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: 256 stays at an average charge of $67,464, 25% below the national average. It also billed 2,497 outpatient services, charging 8.31 times what Medicare paid.

1Medicare inpatient stays 1,889
2Charge ÷ paid, inpatient 5.09×
3Rank in PA (highest ratio = 1) 43 of 117
4CMS price-transparency actions 0

Average charge per stay at UPMC Williamsport, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 66 DRGs that can be compared with the national average, UPMC Williamsport charged more than the national average in 4 (6%). 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	256	$67,464	-25%	$14,463
291 Heart Failure and Shock with MCC	131	$43,695	-22%	$9,473
177 Respiratory Infections and Inflammations with MCC	65	$60,393	-14%	$12,184
193 Simple Pneumonia and Pleurisy with MCC	62	$56,650	-5%	$10,056
309 Cardiac Arrhythmia and Conduction Disorders with CC	46	$23,331	-35%	$6,102
481 Hip and Femur Procedures except Major Joint with CC	46	$86,472	-14%	$15,609
378 Gastrointestinal Hemorrhage with CC	43	$38,511	-21%	$7,434
698 Other Kidney and Urinary Tract Diagnoses with MCC	41	$50,909	-31%	$12,454
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	40	$35,909	-11%	$6,193
470 Major Hip and Knee Joint Replacement or Reattachment of...	39	$78,195	-16%	$13,787
683 Renal Failure with CC	36	$30,331	-25%	$7,158
552 Medical Back Problems without MCC	35	$40,530	-17%	$7,093
682 Renal Failure with MCC	35	$46,396	-30%	$11,964
853 Infectious and Parasitic Diseases with O.R. Procedures with...	35	$163,591	-29%	$36,612
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	35	$38,242	-22%	$7,677
189 Pulmonary Edema and Respiratory Failure	34	$51,642	-10%	$9,226
322 Percutaneous Cardiovascular Procedures with Intraluminal...	33	$85,070	-26%	$13,751
377 Gastrointestinal Hemorrhage with MCC	32	$56,132	-34%	$12,886
690 Kidney and Urinary Tract Infections without MCC	32	$32,659	-14%	$6,208
885 Psychoses	31	$44,835	+2%	$10,009
280 Acute Myocardial Infarction, Discharged Alive with MCC	30	$47,029	-38%	$11,734
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	27	$57,983	-42%	$14,065
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	27	$41,443	-31%	$9,711
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	26	$42,233	-24%	$8,304
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	26	$30,487	-18%	$5,997
308 Cardiac Arrhythmia and Conduction Disorders with MCC	25	$41,652	-26%	$8,985
194 Simple Pneumonia and Pleurisy with CC	24	$31,110	-19%	$6,727
689 Kidney and Urinary Tract Infections with MCC	24	$51,973	+1%	$8,867
312 Syncope and Collapse	23	$43,715	-4%	$6,621
253 Other Vascular Procedures with CC	21	$101,793	-23%	$19,382
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	20	$87,820	-14%	$15,362
699 Other Kidney and Urinary Tract Diagnoses with CC	20	$41,954	-12%	$7,613
190 Chronic Obstructive Pulmonary Disease with MCC	19	$43,446	-14%	$9,356
281 Acute Myocardial Infarction, Discharged Alive with CC	19	$35,627	-29%	$6,934
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$59,872	-2%	$9,052
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	18	$22,956	-20%	$4,372
603 Cellulitis without MCC	18	$33,928	-9%	$6,981
092 Other Disorders of Nervous System with CC	17	$31,309	-39%	$7,412
184 Major Chest Trauma with CC	17	$44,832	-19%	$8,048
287 Circulatory Disorders except AMI, with Cardiac...	17	$42,642	-33%	$8,147
178 Respiratory Infections and Inflammations with CC	16	$33,631	-26%	$7,225
242 Permanent Cardiac Pacemaker Implant with MCC	16	$136,532	-15%	$24,726
329 Major Small and Large Bowel Procedures with MCC	16	$223,599	+4%	$30,678
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	16	$32,225	-24%	$6,707
086 Traumatic Stupor and Coma <1 Hour with CC	15	$86,169	+26%	$9,813
243 Permanent Cardiac Pacemaker Implant with CC	15	$99,138	-11%	$16,531
069 Transient Ischemia without Thrombolytic	14	$37,277	-26%	$6,092
236 Coronary Bypass without Cardiac Catheterization without MCC	14	$210,302	0%	$27,379
394 Other Digestive System Diagnoses with CC	14	$30,439	-35%	$7,092
556 Signs and Symptoms of Musculoskeletal System and Connective...	14	$28,837	-29%	$6,289
057 Degenerative Nervous System Disorders without MCC	13	$32,226	-43%	$9,741
234 Coronary Bypass with Cardiac Catheterization or Open...	13	$265,394	-1%	$37,805
267 Endovascular Cardiac Valve Replacement and Supplement...	13	$196,877	-11%	$34,410
314 Other Circulatory System Diagnoses with MCC	13	$73,341	-23%	$15,404
454 Combined Anterior and Posterior Spinal Fusion with CC	13	$212,967	-24%	$46,685
551 Medical Back Problems with MCC	13	$55,455	-30%	$11,406
208 Respiratory System Diagnosis with Ventilator Support <=96...	12	$111,920	-18%	$18,660
286 Circulatory Disorders except AMI, with Cardiac...	12	$68,623	-39%	$15,980
330 Major Small and Large Bowel Procedures with CC	12	$102,043	-14%	$17,277
393 Other Digestive System Diagnoses with MCC	12	$64,663	-16%	$13,821

Showing the 60 most frequent of 66 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	357	$22,148	$2,423
Level 1 Nerve Procedures	313	$13,116	$1,720
Level 2 Excision/ Biopsy/ Incision and Drainage	221	$13,563	$1,440
Level 5 Musculoskeletal Procedures	161	$68,877	$11,740
Level 2 Upper GI Procedures	124	$16,920	$1,689
Level 1 Endovascular Procedures	120	$22,032	$2,915
Level 5 Urology and Related Services	107	$50,165	$4,622
Level 4 Musculoskeletal Procedures	103	$46,117	$6,340
Level 3 Vascular Procedures	88	$20,844	$2,831
Level 4 Urology and Related Services	86	$35,722	$3,114
Level 3 Musculoskeletal Procedures	74	$22,518	$2,829
Level 1 Laparoscopy and Related Services	62	$37,650	$5,154
Level 3 Excision/ Biopsy/ Incision and Drainage	61	$22,160	$2,538
Level 3 Urology and Related Services	59	$19,969	$1,819
Level 3 Electrophysiologic Procedures	52	$85,279	$21,159
Level 3 Pacemaker and Similar Procedures	49	$64,231	$9,531
Level 2 Laparoscopy and Related Services	45	$69,087	$9,189
Level 6 Musculoskeletal Procedures	41	$75,108	$16,610
Level 2 Musculoskeletal Procedures	37	$13,836	$1,410
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	34	$22,064	$3,090
Level 2 Neurostimulator and Related Procedures	34	$15,150	$3,414
Level 2 Breast/Lymphatic Surgery and Related Procedures	32	$42,599	$5,824
Level 2 Endovascular Procedures	31	$26,166	$5,105
Level 1 Breast/Lymphatic Surgery and Related Procedures	30	$29,455	$3,404
Level 3 Endovascular Procedures	29	$50,127	$9,819

Against the Pennsylvania average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), UPMC Williamsport charged $67,464 on average, 23% less than the Pennsylvania average of $88,167, and was paid $14,463 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), UPMC Williamsport charged $43,695 on average, 24% less than the Pennsylvania average of $57,362, and was paid $9,473 against a state average of $11,112. For Respiratory Infections and Inflammations with MCC (DRG 177), UPMC Williamsport charged $60,393 on average, 16% less than the Pennsylvania average of $72,025, and was paid $12,184 against a state average of $14,034. For Simple Pneumonia and Pleurisy with MCC (DRG 193), UPMC Williamsport charged $56,650 on average, 5% less than the Pennsylvania average of $59,404, and was paid $10,056 against a state average of $11,319. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,148 was 2% above the state average of $21,732. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $13,116 was 4% above the state average of $12,623. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,563 was 1% below the state average of $13,651. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $68,877 was 8% above the state average of $63,627.

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.