Pennsylvania / Warren General Hospital
CMS certification 390146 · Warren, PA · 1 entry in CMS's price-transparency list
Warren General Hospital: charges and Medicare payments
Warren General Hospital reported 345 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 1.43 times what it was paid — among the lower ratios in Pennsylvania, number 116 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: 113 stays at an average charge of $19,336, 79% below the national average. It also billed 695 outpatient services, charging 4.07 times what Medicare paid.
- 1Medicare inpatient stays 345
- 2Charge ÷ paid, inpatient 1.43×
- 3Rank in PA (highest ratio = 1) 116 of 117
- 4CMS price-transparency actions 1
Inpatient stays
For the 12 DRGs that can be compared with the national average, Warren General Hospital 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 | 113 | $19,336 | -79% | $16,207 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 58 | $14,098 | -71% | $9,058 |
| 189 Pulmonary Edema and Respiratory Failure | 29 | $20,270 | -65% | $11,277 |
| 291 Heart Failure and Shock with MCC | 24 | $14,800 | -74% | $10,981 |
| 885 Psychoses | 23 | $21,390 | -51% | $12,521 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $15,497 | -74% | $11,475 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $17,008 | -53% | $6,868 |
| 683 Renal Failure with CC | 14 | $12,590 | -69% | $8,162 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $18,911 | -73% | $14,496 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $17,203 | -66% | $9,629 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $12,681 | -66% | $7,180 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $13,137 | -67% | $7,300 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 271 | $16,562 | $2,834 |
| Level 2 Urology and Related Services | 68 | $1,890 | $720 |
| Level 1 Intraocular Procedures | 67 | $6,623 | $2,429 |
| Level 3 Urology and Related Services | 54 | $5,191 | $2,115 |
| Level 5 Musculoskeletal Procedures | 49 | $26,127 | $13,847 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 37 | $6,549 | $1,681 |
| Level 4 Musculoskeletal Procedures | 30 | $17,750 | $7,540 |
| Level 4 Urology and Related Services | 29 | $7,044 | $3,611 |
| Level 1 Laparoscopy and Related Services | 22 | $14,099 | $6,081 |
| Level 3 Vascular Procedures | 18 | $9,611 | $3,359 |
| Level 5 Urology and Related Services | 18 | $10,235 | $5,454 |
| Level 2 Musculoskeletal Procedures | 17 | $3,839 | $1,694 |
| Level 1 Nerve Procedures | 15 | $3,037 | $2,035 |
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Warren General Hospital charged $19,336 on average, 78% less than the Pennsylvania average of $88,167, and was paid $16,207 against a state average of $16,881. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Warren General Hospital charged $14,098 on average, 72% less than the Pennsylvania average of $49,758, and was paid $9,058 against a state average of $9,077. For Pulmonary Edema and Respiratory Failure (DRG 189), Warren General Hospital charged $20,270 on average, 69% less than the Pennsylvania average of $65,329, and was paid $11,277 against a state average of $11,268. For Heart Failure and Shock with MCC (DRG 291), Warren General Hospital charged $14,800 on average, 74% less than the Pennsylvania average of $57,362, and was paid $10,981 against a state average of $11,112. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,562 was 24% below the state average of $21,732. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,890 was 57% below the state average of $4,364. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,623 was 54% below the state average of $14,403. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $5,191 was 69% below the state average of $16,557.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Warren General Hospital in Warren, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-07-01 (CMS case 8156)
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.