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  • Financial data for hospital cost report period ending 06/30/2023 (HCRIS 756693 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2023 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2023 (Final rule OPPS).
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.

UPMC Somerset

Somerset, PA  15501
CMS Certification Number: 390039

Identification and Characteristics

Name and Address: UPMC Somerset
225 South Center Avenue
Somerset, PA  15501
Telephone Number: (814) 443-5000
Hospital Website:
CMS Certification Number: 390039
   
Type of Facility: Short Term Acute Care
Type of Control: Voluntary Nonprofit, Other
Total Staffed Beds: 56
   
Total Patient Revenue: $319,505,081
Total Discharges: 2,293
Total Patient Days: 12,130
TPS Quality Score: 27.46
Patient Experience Rating: ****.
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Notes



This facility officially joined University of Pittsburgh Medical Center (UPMC) on February 1, 2018.

Source: Beckers Hospital Review, 2/1/2019



This facility was formerly known as Somerset Hospital.

Clinical Cost Analyzer
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Clinical Services

Cardiovascular Services
Cardiac Cath Lab
Cardiac Rehab
Coronary Interventions
Emergency Services
Emergency Department
Neurosciences
Electroencephalography (EEG)
Sleep Studies
Oncology Services
Chemotherapy
Orthopedic Services
Joint Replacement
Other Services
Hemodialysis
Home Health
Hospice
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Computed Tomography-Angiography (CTA)
Digital Mammography
Magnetic Resonance Imaging (MRI)
Positron Emission Tomography (PET)
Single Photon Emission Computerized Tomography (SPECT)
Rehabilitation Services
Physical Therapy
Special Care
Coronary Intensive Care (CCU)
Subprovider Units
Swing Beds - SNF
Surgery
Inpatient Surgery
Wound Care
Wound Care

Joint Commission Accreditation

  • Current Status: 08/19/2023 - Accreditation with Full Standards Compliance
ICD Diagnoses & Procedures
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MS-DRG Coding Indicators
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Inpatient Utilization Statistics by Medical Service

  Number Medicare Inpatients Average Length of Stay Average Charges Medicare Case Mix Index (CMI)
Cardiology 57 4.07 $21,188 1.2659
Cardiovascular Surgery 30 3.77 $52,271 2.6276
Medicine 135 4.21 $22,113 1.4309
Neurology 21 3.19 $34,129 1.4120
Orthopedic Surgery 24 3.33 $41,921 2.4898
Psychiatry 35 16.49 $26,941 1.2617
Pulmonology 63 4.30 $20,095 1.5522
Surgery 30 4.33 $52,649 2.7470
Urology 27 3.70 $21,822 1.3780
Total 432 5.03 $27,984 1.6452
Market Analysis
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Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2023 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
15501 420 1,797 $11,957,806 -0.5% 62.4%
15530 105 447 $2,897,672 -14.6% 52.5%
15531 73 309 $1,900,467 10.6% 45.1%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
5232 Level 2 ICD and Similar Procedures 13 $43,098 $8,061
5024 Level 4 Type A ED Visits 936 $376 $202
8011 Comprehensive Observation Services 131 $687 $368
5115 Level 5 Musculoskeletal Procedures 24 $22,426 $3,790
5193 Level 3 Endovascular Procedures 26 $17,126 $4,323
5593 Level 3 Nuclear Medicine and Related Services 148 $2,391 $569
5052 Level 2 Skin Procedures 453 $1,765 $211
5693 Level 3 Drug Administration 690 $335 $114
5522 Level 2 Imaging without Contrast 1,365 $733 $101
5442 Level 2 Nerve Injections 213 $1,560 $264
5012 Clinic Visits and Related Services 879 $309 $36
5524 Level 4 Imaging without Contrast 252 $1,277 $256
5572 Level 2 Imaging with Contrast 335 $2,174 $105
5375 Level 5 Urology and Related Services 26 $11,289 $1,908
5374 Level 4 Urology and Related Services 36 $6,166 $1,042
5361 Level 1 Laparoscopy and Related Services 22 $12,401 $2,096
5114 Level 4 Musculoskeletal Procedures 17 $16,307 $2,756
5523 Level 3 Imaging without Contrast 468 $1,680 $129
5311 Level 1 Lower GI Procedures 122 $1,557 $306
5373 Level 3 Urology and Related Services 53 $4,884 $831

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 50 10,692
Special Care 6 1,435
Nursery 0
Total Hospital 56 12,130
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $319,505,081 98.6
Non-Patient Revenue $4,610,704 1.4
Total Revenue $324,115,785  
Net Income (or Loss) $2,092,018 0.6
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