Upmc St Margaret

Pittsburgh, Pennsylvania 15215

CCN: 390102 Acute Care Hospitals Emergency Services
3/5
CMS Star Rating
Average
44
DRG Categories
1,008
Total Discharges
$67,602
Avg Charges
$12,081
Avg Payment
$8,589
Avg Medicare
5.6x
Charge-to-Payment

Quality Ratings — CMS Hospital Compare

Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness

Mortality
Same as Average
Safety of Care
Same as Average
Readmissions
Same as Average
Patient Experience
Reported
Pennsylvania Average Rating
3.28 / 5 This hospital is below average
15 five-star hospitals of rated in Pennsylvania
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Private

Compared to Pennsylvania Average

How this hospital compares to the average of 129 hospitals in Pennsylvania

Average Charges
$67,602 -32%
State avg: $99,109
Average Payment
$12,081 -33%
State avg: $17,987
Charge-to-Payment Ratio
5.6x Above avg
State avg: 5.31x

Top 20 DRGs by Volume

Most common diagnosis groups at this hospital, sorted by number of discharges

DRG Description Discharges Avg Charges Avg Payment Markup
291 HEART FAILURE AND SHOCK WITH MCC 106 $55,167 $11,535 4.78x
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC 71 $97,452 $16,943 5.75x
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC 60 $103,695 $14,619 7.09x
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC 44 $181,693 $30,115 6.03x
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC 44 $41,216 $7,389 5.58x
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC 42 $36,734 $6,862 5.35x
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC 37 $75,268 $14,987 5.02x
552 MEDICAL BACK PROBLEMS WITHOUT MCC 30 $41,448 $8,067 5.14x
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC 29 $44,973 $9,588 4.69x
683 RENAL FAILURE WITH CC 29 $43,074 $8,735 4.93x
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC 24 $63,205 $12,636 5x
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC 23 $56,308 $9,731 5.79x
378 GASTROINTESTINAL HEMORRHAGE WITH CC 22 $57,171 $8,816 6.48x
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC 21 $41,489 $6,931 5.99x
603 CELLULITIS WITHOUT MCC 21 $28,875 $7,573 3.81x
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC 21 $69,529 $13,851 5.02x
377 GASTROINTESTINAL HEMORRHAGE WITH MCC 20 $62,553 $15,173 4.12x
682 RENAL FAILURE WITH MCC 20 $67,870 $13,931 4.87x
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC 18 $51,237 $9,762 5.25x
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC 17 $288,224 $37,420 7.7x

Showing top 20 of 44 DRG categories at this hospital.

About This Data

Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.

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