D

Upmc Northwest

100 Fairfield Drive · Seneca, PA 16346

🤖AI Overview

⚠️ This hospital charges 4.5x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$36.6M
Medicare Payments
$8.1M
Discharges
1,152
Avg Length of Stay
4.8 days
Markup Ratio
4.5x
Risk Score
1.95

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Upmc Northwest charges an average of $31,764 per discharge, but Medicare only pays $6,995 — a markup of 4.5x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
4.5x
State Avg
6.7x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$31,764
State Avg
$93,705
National Avg
$69,838
Avg Length of Stay
This Hospital
4.8 days
State Avg
5.2 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
14.4%
65–74
27.0%
75–84
32.0%
85+
26.6%

Gender

52.4%
Female
47.6%
Male

Dual Eligibility

25.5%
Dual Eligible
74.5%
Non-Dual

Race & Ethnicity

White
96.6%
Other
1.9%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
61.2%
Ischemic Heart Disease
45.4%
Mood Disorders
42.2%
Diabetes
40.4%
COPD
40.1%
Chronic Kidney Disease
39.9%
Anxiety
39.7%
Heart Failure
37.7%
Depression
37.5%
Atrial Fibrillation
36.5%
Tobacco Use
22.8%
Stroke/TIA
22.3%
Cancer
21.6%
Alzheimer's/Dementia
21.3%
Bipolar Disorder
18.0%
Osteoporosis
16.8%
Asthma
15.1%
Substance Use
11.2%
Schizophrenia/Psychosis
5.5%
Personality Disorders
3.9%
Parkinson's
3.5%
PTSD
2.9%
ADHD/Conduct Disorders
2.1%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.