Highmark Health: hospitals, ratings and penalties
Highmark Health is listed in Medicare records with 5% or more indirect ownership in 9 hospitals in 2 states. Here is each one's star rating, Medicare penalties and size.
Non-profit Based in Pittsburgh, PA
Average CMS star rating
3.6 of 5
Highmark Health3.6
All U.S. hospitals3.2
Across 8 rated hospitals, above the U.S. average.
Patient-safety (HAC) penalty
1 hospital
Highmark Health13%
All U.S. hospitals24%
Of 8 in the program, these have all their Medicare inpatient payments cut 1% this year for scoring in the worst quarter on hospital-acquired conditions.
Hospitals
9
In 2 states, most in Pennsylvania (8).
Beds and charity care
1,800 beds
$59.7 million in charity care (cost of free or discounted care) in the latest full-year Medicare cost reports.
Where Highmark Health has hospitals
Number of Highmark Health hospitals in each state
Highest- and lowest-rated Highmark Health hospitals
By CMS overall star rating (1 to 5). Ties are broken by the patient survey rating.
Grove City Medical Center
Grove City, PA · highest rated
Patients: 4 of 5
Heritage Valley Sewickley
Sewickley, PA · highest rated
Patients: 3 of 5 · HAC penalty
Milton S Hershey Medical Center
Hershey, PA · highest rated
Patients: 3 of 5
Holy Spirit Hospital
Camp Hill, PA · lowest rated
Patients: 2 of 5
Penn State Health Lancaster Medical Center
Lancaster, PA · lowest rated
Patients: 3 of 5
St Joseph Medical Center
Reading, PA · lowest rated
Patients: 3 of 5
Highmark Health hospitals with the 1% Medicare penalty
Hospitals in the worst-scoring quarter nationally on hospital-acquired conditions, such as infections and surgical complications.
Every Highmark Health hospital
Click a column to sort. A dash means CMS has no rating or result for that hospital.
| Hospital | CMS stars | Patient stars | HAC penalty | ER visit | Beds |
|---|---|---|---|---|---|
| Westfield Memorial Hospital, INCWestfield, NY · Rural Emergency Hospital | – | – | – | – | – |
| Holy Spirit HospitalCamp Hill, PA · Acute care | No penalty | 4 hr 12 min | |||
| Penn State Health Hampden Medical CenterEnola, PA · Acute care | No penalty | 3 hr 16 min | |||
| Saint Vincent Health CenterErie, PA · Acute care | No penalty | 3 hr 39 min | |||
| Grove City Medical CenterGrove City, PA · Acute care | No penalty | 2 hr 30 min | |||
| Milton S Hershey Medical CenterHershey, PA · Acute care | No penalty | 4 hr 21 min | |||
| Penn State Health Lancaster Medical CenterLancaster, PA · Acute care | No penalty | 3 hr 51 min | |||
| St Joseph Medical CenterReading, PA · Acute care | No penalty | 3 hr 52 min | |||
| Heritage Valley SewickleySewickley, PA · Acute care | 1% cut | 2 hr 15 min |
CMS stars: overall hospital rating, 1 to 5. Patient stars: summary of the HCAHPS patient survey. HAC penalty: a 1% cut to all Medicare inpatient payments this year for the worst-scoring quarter of hospitals on hospital-acquired conditions; critical access, children's and some other hospitals are not in the program. ER visit: typical time from arrival to leaving the emergency department. Beds: from the latest Medicare cost report.
Other non-profit hospital owners
Questions about Highmark Health
How many hospitals does Highmark Health own?
Highmark Health is listed in Medicare enrollment records with 5% or more indirect ownership in 9 hospitals with a page on this site, in 2 states: Pennsylvania (8), New York (1). Records can lag behind recent sales and mergers.
How are Highmark Health hospitals rated?
The 8 hospitals with a CMS overall star rating average 3.6 of 5 stars, above the U.S. average of 3.2. Highest rated: Grove City Medical Center (4 stars), Heritage Valley Sewickley (4 stars), Milton S Hershey Medical Center (4 stars). Lowest rated: Holy Spirit Hospital (3 stars), Penn State Health Lancaster Medical Center (3 stars), St Joseph Medical Center (3 stars).
Are any Highmark Health hospitals penalized by Medicare?
1 of its 8 hospitals in the Hospital-Acquired Condition (HAC) program (13%, vs 24% nationally) have all their Medicare inpatient payments cut 1% this year for scoring in the worst quarter on hospital-acquired conditions: Heritage Valley Sewickley.
What kind of organization is Highmark Health?
In Medicare records it is marked as non-profit, based in Pittsburgh, PA. Owners describe themselves in these records; CMS does not verify the labels.
Does Highmark Health run these hospitals?
Highmark Health is listed as an owner or partner, not as having operational or managerial control. Organizations with 5% or more ownership, including investors in a publicly traded parent company, must be reported even if they don't run the hospital.
Hospitals list their owners in Medicare enrollment records: organizations with 5% or more ownership (direct or through other companies), partners, and organizations with operational or managerial control. A large investor can appear because it holds 5% of a publicly traded parent company, which does not mean it runs the hospitals. Records can lag behind recent sales and mergers.
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Medicare penalties
Source: CMS Hospital All Owners and Hospital Enrollments (data.cms.gov), CMS Care Compare and Hospital Provider Cost Reports. About the data.