CostGrade

All published prices at Allegheny General Hospital

160 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.

C
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

413 $20,657 $2,415 +6%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

230 $18,743 $2,827 -26%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

154 $154,018 $20,570 +16%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

143 $34,178 $6,283 -14%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

142 $12,590 $1,659 +7%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

128 $59,728 $11,345 -4%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

117 $105,288 $21,137 +61%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

116 $58,501 $13,875 +35%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

116 $15,016 $1,405 +49%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

100 $27,695 $2,847 +45%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

83 $15,164 $1,758 +17%
Stroke (severe)

MS-DRG 064 · Inpatient stay

78 $116,741 $22,995 +53%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

77 $16,689 $2,081 +42%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

75 $17,041 $3,114 -17%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

75 $25,652 $4,573 -7%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

71 $35,279 $4,980 about average
Stroke (with complications)

MS-DRG 065 · Inpatient stay

66 $51,575 $11,319 +13%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

65 $74,281 $9,577 +10%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

62 $39,841 $10,220 about average
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

59 $13,501 $3,631 -35%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

57 $106,937 $25,219 +22%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

53 $43,940 $5,231 +28%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

52 $246,866 $57,463 +8%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

51 $91,710 $22,206 +10%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

50 $97,041 $18,927 +76%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

50 $9,550 $1,725 -16%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

48 $71,746 $6,113 +86%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

47 $171,645 $39,412 -6%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

46 $276,312 $58,307 +55%
Respiratory Failure

MS-DRG 189 · Inpatient stay

44 $64,063 $13,732 +32%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

43 $31,109 $3,345 +37%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

42 $163,499 $42,856 -14%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

41 $222,063 $47,738 +15%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

41 $113,738 $30,188 -12%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

40 $217,632 $59,618 -10%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

39 $25,294 $2,486 +43%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

38 $228,550 $50,001 about average
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

38 $38,275 $4,891 +11%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

38 $204,447 $29,298 +38%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

38 $37,813 $5,090 +26%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

37 $102,361 $24,274 -6%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

36 $135,718 $30,012 +9%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

36 $98,356 $26,932 -13%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

35 $36,134 $8,802 +12%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

35 $51,463 $13,871 -14%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

35 $27,603 $3,421 +26%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

33 $48,294 $11,219 +17%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

32 $36,767 $8,048 +20%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

32 $280,099 $78,276 -16%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

32 $57,725 $4,542 +60%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

31 $109,246 $22,362 +9%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

31 $213,844 $50,799 -8%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

31 $156,348 $56,558 -30%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

29 $113,994 $19,960 +41%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

29 $21,860 $2,812 +7%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

29 $62,311 $9,259 +21%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

29 $58,558 $9,189 about average
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

28 $91,583 $22,773 +17%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

28 $234,869 $51,357 +31%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

28 $65,603 $17,056 +15%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

28 $41,260 $10,497 +9%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

28 $68,434 $16,610 -18%
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except

MS-DRG 003 · Inpatient stay

27 $699,042 $180,535 -20%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

27 $45,113 $12,996 -20%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

27 $40,434 $9,259 +23%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

26 $37,478 $9,784 -8%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

26 $50,352 $11,795 +28%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

26 $130,044 $24,489 +28%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

26 $113,206 $15,631 +19%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

25 $67,339 $13,669 +45%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

25 $10,737 $1,385 +25%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

25 $23,486 $3,090 about average
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

25 $12,397 $2,507 -25%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

24 $92,916 $19,460 +31%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

24 $111,148 $25,865 about average
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

24 $122,351 $36,267 -16%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

23 $48,659 $10,621 -11%
Fainting

MS-DRG 312 · Inpatient stay

23 $38,091 $9,502 +4%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

23 $49,205 $9,267 +61%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

22 $36,983 $9,523 +21%
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc

MS-DRG 027 · Inpatient stay

22 $141,011 $22,398 +16%
Kidney Transplant

MS-DRG 652 · Inpatient stay

22 $414,027 $46,249 +40%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

22 $52,809 $7,588 +40%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

20 $58,646 $14,757 +8%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

20 $68,099 $15,353 +11%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

20 $98,960 $23,661 about average
Major Chest Trauma with Major Complications

MS-DRG 183 · Inpatient stay

20 $75,157 $17,263 +7%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

20 $13,930 $1,436 +24%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

19 $134,641 $29,456 +19%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

19 $120,340 $21,225 +28%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

19 $84,272 $18,552 +4%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

18 $45,750 $13,167 -4%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

18 $91,334 $17,677 +14%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

18 $196,053 $36,128 +30%
Disorders of the Biliary Tract with Major Complications

MS-DRG 444 · Inpatient stay

18 $110,174 $21,687 +54%
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma

MS-DRG 956 · Inpatient stay

18 $139,341 $34,055 -22%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

17 $143,503 $27,581 +203%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

17 $39,449 $8,412 +20%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

17 $48,360 $5,552 +22%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

16 $147,131 $36,957 about average

These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.