Upmc Somerset
225 SOUTH CENTER AVENUE, Somerset, PA 15501
Upmc Somerset in Somerset, PA has an average Medicare payment of $16,801 and a Value Score of B (67/100). Compare prices for 17 procedures. Based on CMS inpatient data.
About Upmc Somerset
Upmc Somerset earns a CMS 4-star quality rating — above-average across the federal measures CMS tracks for U.S. acute-care hospitals. Outcome measures are mixed: 0 mortality, 0 safety, and 0 readmission measures rate better than benchmark; 0 mortality, 0 safety, and 0 rate worse. The composite outcome score is 50/100.
Average Medicare payment per documented procedure at Upmc Somerset is $16,801, near the national median for acute-care hospitals. The combined value score — quality versus cost — works out to 67/100, an above-average showing.
Upmc Somerset is non-profit — a voluntary-association or church-affiliated facility, which is the majority ownership pattern for U.S. acute-care hospitals. 17 distinct procedures are documented in CMS payment files for Upmc Somerset. Top examples: Renal Failure with CC, Hip and Femur Procedures Except Major Joint with MCC, Simple Pneumonia and Pleurisy with MCC. Emergency services are available, which is the norm for acute-care hospitals and a meaningful factor for any patient choosing a facility for unplanned care.
Source: CMS Provider Data Catalog — Hospital Compare quality measures, CMS Inpatient Payment data files.
Procedure Prices
| Procedure (DRG) | Total Payment |
|---|---|
Renal Failure with CC DRG 683 · Renal | $11,279 |
Hip and Femur Procedures Except Major Joint with MCC DRG 480 · Orthopedic | $23,458 |
Simple Pneumonia and Pleurisy with MCC DRG 193 · Respiratory | $11,316 |
Major Hip and Knee Joint Replacement DRG 470 · Orthopedic | $35,136 |
Septicemia or Severe Sepsis without Ventilator DRG 871 · Infectious | $18,016 |
Heart Failure and Shock with MCC DRG 291 · Cardiac | $10,094 |
Nutritional and Misc Metabolic Disorders with MCC DRG 641 · Metabolic | $15,753 |
Cellulitis with MCC DRG 603 · Infectious | $13,195 |
Signs and Symptoms without MCC DRG 948 · Other | $6,152 |
Cesarean Section without CC/MCC DRG 766 · Obstetric | $8,115 |
GI Hemorrhage with MCC DRG 378 · Digestive | $17,340 |
Respiratory System Diagnosis with Ventilator Support >96 Hours DRG 208 · Respiratory | $54,158 |
Transient Ischemia DRG 069 · Neurological | $5,909 |
Cardiac Arrhythmia and Conduction Disorders with MCC DRG 308 · Cardiac | $11,066 |
Heart Failure and Shock with CC DRG 292 · Cardiac | $8,298 |
Percutaneous Cardiovascular Procedure with Drug-Eluting Stent DRG 247 · Cardiac | $23,136 |
Esophagitis, Gastroenteritis with MCC DRG 392 · Digestive | $13,204 |
Pricing data from CMS Hospital Price Transparency. Quality ratings from CMS Hospital Compare.
How Upmc Somerset Compares
Upmc Somerset has an average Medicare payment of $16,801, 1% below the Pennsylvania state average of $16,898. That is 6% higher than the national hospital average of $15,878. Most of its procedures fall under Cardiac, where the typical payment is $14,557 (15% above this hospital's average). Its Value Score of B (67/100) reflects a blend of price percentile, CMS quality rating, and patient outcome measures.
Upmc Somerset Cost & Quality FAQ
Upmc Somerset has an average payment of $16,801 across 17 priced procedures. Costs vary significantly by procedure, compare individual prices in the procedure table above.
Upmc Somerset has a CMS star rating of 4 out of 5. Quality measures include mortality rates, safety incidents, and readmission rates from Medicare data.
Upmc Somerset has a Value Score of B (67/100). This score combines cost efficiency, quality ratings, and patient outcomes to help compare hospitals. Voluntary non-profit - Private facilities like this one are acute care hospitals.
Yes, Upmc Somerset offers emergency services. The hospital is located at 225 SOUTH CENTER AVENUE, Somerset, PA 15501. Phone: (814) 443-5000.
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Explore Hospital Cost Data
Hospital payment data reflects Medicare inpatient claims. Value Scores combine cost efficiency, CMS star ratings, and patient outcome measures. Actual out-of-pocket costs may vary based on insurance and individual circumstances.