24/100
#2,072 nationally
Upmc East
2775 Mosside Boulevard, Monroeville, PA 15146 · (412) 357-3000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Upmc East billed $7.54 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 7.5x
- volume-weighted across all its priced work
- Procedures priced
- 51
- inpatient and outpatient combined
- Rank in PA
- #96
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 16% of U.S. hospitals.
Better than 27% of U.S. hospitals.
Better than 26% of U.S. hospitals.
Better than 42% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
220 | $17,480 | $2,403 | -10% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
212 | $18,439 | $2,061 | +57% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
105 | $94,903 | $13,965 | +45% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
103 | $81,658 | $11,740 | +31% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
97 | $80,417 | $6,239 | +102% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
88 | $54,905 | $8,885 | +26% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
68 | $18,181 | $1,706 | +60% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
54 | $26,829 | $2,847 | +40% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
49 | $24,139 | $3,090 | +4% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
47 | $82,250 | $11,401 | +49% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$80,417 | $6,239 | +102% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$58,484 | $5,807 | +91% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$66,439 | $7,338 | +79% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$32,064 | $2,792 | +77% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$30,177 | $2,538 | +71% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$46,501 | $4,622 | +69% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$49,017 | $6,952 | +65% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$53,021 | $5,600 | +64% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$29,608 | $6,839 | -24% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$19,144 | $2,843 | -24% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$17,480 | $2,403 | -10% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$8,356 | $1,430 | about average |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$66,585 | $9,819 | about average |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$11,752 | $1,656 | about average |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$24,139 | $3,090 | +4% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$63,760 | $11,140 | +4% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.