All published prices at Upmc East
51 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.
| 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% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
42 | $49,017 | $6,952 | +65% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
42 | $44,527 | $5,154 | +27% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
41 | $15,661 | $1,430 | +55% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
41 | $95,576 | $16,610 | +15% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
37 | $62,734 | $9,326 | +35% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
29 | $53,805 | $7,148 | +30% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
29 | $30,177 | $2,538 | +71% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
29 | $19,144 | $2,843 | -24% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
28 | $53,021 | $5,600 | +64% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
26 | $40,485 | $5,105 | +17% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
26 | $11,752 | $1,656 | about average |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
25 | $32,900 | $2,741 | +61% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
24 | $63,760 | $11,140 | +4% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
24 | $36,883 | $6,514 | +12% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
24 | $18,290 | $1,819 | +42% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
23 | $100,299 | $13,290 | +25% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
23 | $33,770 | $3,028 | +64% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
19 | $61,175 | $8,436 | +26% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
19 | $40,377 | $6,491 | +32% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
19 | $72,026 | $10,364 | +36% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
18 | $39,651 | $5,477 | +30% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
18 | $46,501 | $4,622 | +69% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
17 | $66,585 | $9,819 | about average |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
16 | $56,847 | $9,461 | +17% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
16 | $23,084 | $2,507 | +39% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
15 | $53,371 | $7,946 | +31% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
15 | $55,402 | $4,909 | +53% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
14 | $97,113 | $12,751 | +37% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
14 | $29,608 | $6,839 | -24% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
14 | $199,876 | $33,391 | +12% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
14 | $8,356 | $1,430 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
14 | $17,408 | $1,436 | +55% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
13 | $56,503 | $9,426 | +24% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
13 | $66,439 | $7,338 | +79% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
13 | $136,070 | $15,121 | +34% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
13 | $32,064 | $2,792 | +77% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
12 | $36,759 | $5,888 | +17% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
12 | $61,327 | $7,487 | +56% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
11 | $44,890 | $5,798 | +41% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
11 | $124,059 | $15,629 | +41% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
11 | $58,484 | $5,807 | +91% |
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.