Uniontown Hospital
500 West Berkeley Street, Uniontown, PA 15401 · 120 Priced Procedures · 55% Patient Recommendation
Typical commercial prices here are 16% below the fair benchmark (0.84×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.84× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Uniontown Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.83× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 1.02× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 16% below peer Fair BaseRate (0.84×)
- Self-pay cash beats commercial insurance on 16% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 55% patient recommendation (62/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (18.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.9× markup over Medicare rates
- Captive ER (2.5×) & laboratory (1.1×) services average 1.38× higher multiples than routine shoppable care (0.8×)
- Upper-quartile procedures (Q75 1.02×) jump +23% above the median procedure ratio (Q50 0.83×)
- Unnegotiated chargemaster list prices average 5.5× Medicare (17¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Uniontown Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $24,434 | 0.8× |
| Total hip replacement CPT Code: 27130 | $15,382 | unverified |
| Total knee replacement CPT Code: 27447 | $15,382 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $14,910 | 0.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $14,810 | 0.8× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $13,812 | 0.8× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,311 | 0.8× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,920 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $2,236 | unverified |
| Bunion correction surgery CPT Code: 28296 | $1,638 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,457 | unverified |
| Hospital observation (per hour) HCPCS Code: G0378 | $1,354 | unverified |
| Breast lump removal CPT Code: 19120 | $1,071 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $970 | 0.2× |
| Injection procedure for pain management HCPCS Code: G0260 | $924 | 1.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $923 | 0.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $467 | 0.5× |
| Psychological testing by technician CPT Code: 96138 | $417 | 1.1× |
| Rabies immune globulin HCPCS Code: 90375 | $315 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $336 | 0.7× |
| Cataract surgery with lens implant CPT Code: 66984 | $316 | 0.1× |
| Colonoscopy with biopsy CPT Code: 45380 | $282 | 0.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $249 | 0.7× |
| Neurobehavioral status check CPT Code: 96116 | $220 | 1.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $234 | 0.7× |
Audit a Bill or Quote at Uniontown Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $10,626
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (18.1% of gross = $10,626).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Uniontown Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($58,642) is $27,867 above the denoised Fair BaseRate ($30,775) and 2.5× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (18.1% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (875 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Uniontown Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.