Upmc St Margaret

815 Freeport Road · Pittsburgh, PA 15215

🤖AI Overview

⚠️ This hospital charges 7.8x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$122.4M

Medicare Payments

$15.7M

Discharges

1,676

Avg Length of Stay

4.7 days

Markup Ratio

7.8x

Risk Score

1.93

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Upmc St Margaret charges an average of $73,016 per discharge, but Medicare only pays $9,388 — a markup of 7.8x. 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

7.8x

State Avg

6.7x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$73,016

State Avg

$93,705

National Avg

$69,838

Avg Length of Stay

This Hospital

4.7 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

9.8%

65–74

40.5%

75–84

25.8%

85+

23.8%

Gender

55.0%

Female

45.0%

Male

Dual Eligibility

16.1%

Dual Eligible

83.9%

Non-Dual

Race & Ethnicity

White

91.6%

Black

5.1%

Other

2.0%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

74.5%

Ischemic Heart Disease

45.4%

Anxiety

44.1%

Mood Disorders

43.4%

Depression

40.6%

Chronic Kidney Disease

37.4%

Diabetes

37.1%

Heart Failure

35.0%

Atrial Fibrillation

34.3%

COPD

29.5%

Alzheimer's/Dementia

21.6%

Osteoporosis

20.7%

Cancer

20.5%

Stroke/TIA

18.1%

Tobacco Use

16.6%

Asthma

16.5%

Substance Use

11.1%

Bipolar Disorder

9.2%

Parkinson's

3.2%

PTSD

2.9%

Schizophrenia/Psychosis

2.6%

Personality Disorders

1.5%

ADHD/Conduct Disorders

1.1%

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.