How many shoppable procedure prices are published for Excela Health Westmoreland Regional Hospital?

Excela Health Westmoreland Regional Hospital in Greensburg, PA currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Excela Health Westmoreland Regional Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Excela Health Westmoreland Regional Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Excela Health Westmoreland Regional Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Excela Health Westmoreland Regional Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 283 Beds · urban Updated: 12/17/2025

Excela Health Westmoreland Regional Hospital

532 West Pittsburgh Street, Greensburg, PA 15601 · 104 Priced Procedures · 55% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.97×vs. Fair Market Price

Typical commercial prices here are 3% below the fair benchmark (0.97×) after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 28% of the Time

File Completeness66

Price Logic94

Peer Alignment76

Clean Billing84

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.97× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Excela Health Westmoreland Regional Hospital prices shoppable and inpatient services (1.0× to 1.1× Medicare, divergence 1.10×) in alignment with regional hospital peers (0.97× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#63 of 134 in PA · 46th State Percentile#1,125 of 3,385 in U.S. · 33rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 3% below peer Fair BaseRate (0.97×)
Self-pay cash beats commercial insurance on 28% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (61/100 safety score) with 55% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (29.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.97× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.4×) & laboratory (1.2×) services average 1.10× higher multiples than routine shoppable care (1.0×)
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 4.5× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.10× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+12% Upper Tail

Q25 0.84× · Q50 0.94× · Q75 1.05×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

28% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 61/100Elevated

Procedure Prices at Excela Health Westmoreland Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Colonoscopy with biopsy CPT Code: `45380`	$1,500	$1,230	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,170	$956	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,140	$932	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,292	$921	$1,021	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$1,182	$743	$855	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$730	$592	$583	1.0×
Blood transfusion CPT Code: `36430`	$390	$473	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,491	$374	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,362	$399	$511	0.8×
Rabies immune globulin HCPCS Code: `90375`	$1,615	$294	$322	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,213	$256	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,178	$275	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,121	$275	$343	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$1,121	$275	$369	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$379	$229	$272	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$251	$241	$201	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$173	$197	$185	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$847	$188	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,592	$196	$258	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$165	$197	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$180	$197	$181	unverified
Family therapy session CPT Code: `90847`	$164	$197	$173	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$185	$149	$148	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$361	$141	$151	0.9×
Psychological testing evaluation CPT Code: `96136`	$300	$143	$128	unverified
Group therapy session CPT Code: `90853`	$126	$113	$100	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$180	$121	$123	1.0×
X-ray, pelvis CPT Code: `72170`	$129	$100	$110	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$308	$110	$134	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$289	$100	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$296	$100	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$384	$100	$132	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$736	$121	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$809	$121	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$856	$121	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$809	$121	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$839	$121	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$809	$121	$169	0.7×
X-ray, chest (single view) CPT Code: `71045`	$120	$84	$92	0.9×
X-ray, foot CPT Code: `73630`	$188	$84	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$151	$84	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$150	$84	$93	0.9×
X-ray, hip CPT Code: `73502`	$94	$84	$93	0.9×
X-ray, lower back CPT Code: `72110`	$224	$100	$112	0.9×
X-ray, hand CPT Code: `73130`	$156	$83	$93	0.9×
X-ray, ankle CPT Code: `73610`	$188	$83	$93	0.9×
X-ray, shoulder CPT Code: `73030`	$183	$94	$92	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$548	$548	$140	3.9×
Typhoid vaccine HCPCS Code: `90675`	$784	$329	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$166	$166	$111	1.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$58	$58	$20	2.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$38	$53	$35	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$116	$77	$86	0.9×
Drug screening test HCPCS Code: `G0480`	$169	$79	$116	0.7×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$77	$77	$27	unverified
Flu vaccine injection HCPCS Code: `G0008`	$55	$50	$48	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$34	$51	$49	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$41	$50	$49	1.0×
Orthotic fitting and training CPT Code: `97760`	$61	$48	$51	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$154	$68	$110	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$166	$68	$123	0.6×
Prosthetic fitting and training CPT Code: `97761`	$55	$42	$45	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$58	$35	$38	0.9×
Physical therapy (gait training) CPT Code: `97116`	$46	$30	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$55	$36	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$53	$34	$38	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$97	$56	$64	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$140	$50	$87	0.6×
Blood antibody screen CPT Code: `86850`	$68	$56	$46	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$31	$22	$14	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$36	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$36	$15	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$29	$15	$14	1.1×
Blood test, vitamin D CPT Code: `82306`	$68	$33	$31	1.1×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$19	$5	$4	1.3×
Blood test, calcium CPT Code: `82310`	$22	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$15	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$15	$7	$6	1.2×
Hepatitis C antibody test CPT Code: `86803`	$44	$17	$15	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$58	$20	$19	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$27	$9	$9	1.0×
Blood test, liver function panel CPT Code: `80076`	$24	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$9	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$29	$7	$7	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$33	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$17	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$30	$10	$10	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$39	$18	$18	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$58	$34	$38	0.9×
Blood test, lipase CPT Code: `83690`	$18	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$15	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$12	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$7	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$24	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$10	$5	$5	1.0×
Culture, blood CPT Code: `87040`	$16	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$13	$9	$9	1.0×
Speech therapy (group session) CPT Code: `92508`	$53	$25	$27	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$52	$30	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$52	$29	$34	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$92	$13	$25	0.5×
Hepatitis B vaccine HCPCS Code: `90744`	—	$13	$37	0.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$205	$13	$56	0.2×

Showing top 25 high-impact procedures of 104 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 29.1%

Audit a Bill or Quote at Excela Health Westmoreland Regional Hospital (Zero PHI Required)

CMS CCN: 390145

CPT 45380

Select Procedure to Audit:

Fair BaseRate™ $1,256

Medicare Rate $1,223

Self-Pay Cash $1,500

Insurer Median $1,230

1. Amount on Your Bill or Quote ($) Pre-filled with Excela Health Westmoreland Regional Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $727 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $727

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (29.1% of gross = $727).

Step 2 · Cash vs. Insurance Arbitrage Save $1,000 Paying Cash

Self-Pay Cash Rate ($1,500) Beats Your Bill

Excela Health Westmoreland Regional Hospital's published 45 CFR § 180 self-pay cash rate is $1,500 (vs. $1,230 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,244 Above Fair BaseRate

Negotiate Toward $1,256 Fair BaseRate ($1,223 Medicare)

Your bill ($2,500) is $1,244 above the denoised Fair BaseRate ($1,256) and 2.0× the $1,223 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (29.1% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite61/100

Would Recommend55%

Rated 9 or 10 (HCAHPS)58%

Median ER Wait180 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (511 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Excela Health Westmoreland Regional Hospital.

Price Index: 1.00× regional baseline

Quality: 51/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

HealthPartners

-43.4%

+352.9%

Median Household Income$72,468U.S. Census ACS

Local Uninsured Share3.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 84/100 · Corroborated CMS CCN 390145

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 390145) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage12/17/2025

Validated Rate Rows4,423 (CMS v3.0.0)

File Integrity DigestVerified · CCN 390145

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy