Upper Valley Medical Center

3130 North County Road 25a · Troy, OH 45373

🤖AI Overview

⚠️ This hospital charges 5.7x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$79.1M

Medicare Payments

$13.9M

Discharges

1,740

Avg Length of Stay

4.0 days

Markup Ratio

5.7x

Risk Score

2.05

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Upper Valley Medical Center charges an average of $45,448 per discharge, but Medicare only pays $7,985 — a markup of 5.7x. 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

5.7x

State Avg

5.0x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$45,448

State Avg

$65,225

National Avg

$69,838

Avg Length of Stay

This Hospital

4.0 days

State Avg

4.8 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

9.9%

65–74

28.7%

75–84

34.6%

85+

26.8%

Gender

53.2%

Female

46.8%

Male

Dual Eligibility

18.3%

Dual Eligible

81.7%

Non-Dual

Race & Ethnicity

White

96.4%

Black

1.1%

Other

1.9%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

55.9%

Ischemic Heart Disease

50.9%

Heart Failure

46.4%

Chronic Kidney Disease

46.4%

Diabetes

45.2%

Anxiety

42.4%

Atrial Fibrillation

41.6%

Mood Disorders

40.7%

Depression

39.4%

COPD

38.7%

Alzheimer's/Dementia

21.3%

Cancer

20.8%

Stroke/TIA

19.7%

Tobacco Use

19.1%

Osteoporosis

17.3%

Asthma

11.1%

Substance Use

10.4%

Bipolar Disorder

5.6%

Parkinson's

4.3%

Schizophrenia/Psychosis

4.3%

PTSD

2.9%

Personality Disorders

2.8%

ADHD/Conduct Disorders

1.6%

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.