All published prices at Upmc Hamot
139 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 |
|---|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
196 | $47,254 | $3,428 | +87% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
180 | $140,999 | $17,707 | +116% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
170 | $93,616 | $11,646 | +116% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
139 | $14,488 | $1,689 | +44% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
129 | $81,846 | $13,662 | +31% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
125 | $29,598 | $2,739 | +52% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
113 | $24,678 | $3,344 | +29% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
110 | $34,646 | $3,674 | +68% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
101 | $193,341 | $24,731 | +46% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
99 | $43,533 | $5,418 | +59% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
86 | $95,207 | $11,580 | +41% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
76 | $51,689 | $5,954 | +47% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
68 | $74,436 | $10,897 | +45% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
65 | $87,449 | $11,255 | +81% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
61 | $81,267 | $9,154 | +78% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
60 | $47,392 | $6,024 | +37% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
60 | $28,184 | $2,147 | +118% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
56 | $99,099 | $14,868 | +80% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
54 | $61,213 | $9,217 | +48% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
54 | $13,199 | $2,005 | +12% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
52 | $44,498 | $7,059 | +45% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
52 | $54,756 | $8,724 | +40% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
50 | $63,322 | $7,540 | +59% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
49 | $109,838 | $13,728 | +79% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
48 | $62,657 | $7,394 | +94% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
48 | $114,198 | $18,303 | +37% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
48 | $264,457 | $41,236 | +49% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
48 | $49,416 | $5,671 | +37% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
44 | $94,175 | $12,100 | +102% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
44 | $146,253 | $16,153 | +44% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
44 | $30,680 | $3,646 | +32% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
43 | $140,934 | $17,669 | +85% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
41 | $121,932 | $13,468 | +130% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
40 | $181,864 | $26,108 | +27% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
40 | $66,423 | $8,499 | +102% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
40 | $50,647 | $7,494 | +70% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
40 | $68,012 | $10,837 | +14% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
39 | $42,265 | $8,950 | +12% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
38 | $99,591 | $15,422 | +40% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
37 | $133,910 | $19,286 | +52% |
|
Fainting
MS-DRG 312 · Inpatient stay |
36 | $51,687 | $8,566 | +41% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
34 | $194,854 | $27,907 | +56% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
33 | $237,456 | $24,820 | +109% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
31 | $32,361 | $5,281 | +29% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
31 | $107,322 | $12,552 | +121% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
31 | $130,643 | $18,438 | +37% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
31 | $13,032 | $1,694 | +16% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
30 | $35,855 | $4,017 | +50% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
29 | $119,049 | $18,724 | +39% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
29 | $23,242 | $2,995 | +31% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
29 | $37,630 | $3,838 | +66% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
29 | $9,748 | $1,648 | +14% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
29 | $24,371 | $3,295 | +34% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
28 | $51,844 | $7,636 | +63% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
28 | $85,715 | $10,042 | +57% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
28 | $318,443 | $34,565 | +114% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
27 | $326,477 | $38,115 | +82% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
26 | $206,702 | $36,776 | +7% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
26 | $219,334 | $41,676 | +16% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
26 | $51,652 | $7,621 | +65% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
25 | $169,001 | $20,862 | +68% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
24 | $87,445 | $9,468 | +123% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
24 | $78,884 | $19,594 | -5% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
24 | $44,657 | $6,974 | +16% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
23 | $69,735 | $8,409 | +71% |
|
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major
MS-DRG 556 · Inpatient stay |
23 | $54,399 | $7,857 | +44% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
22 | $76,640 | $11,049 | +62% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
22 | $107,418 | $11,873 | +109% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
22 | $311,510 | $40,487 | +70% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
22 | $105,719 | $16,667 | +32% |
|
Carotid Artery Stent Procedures without Complications/mcc
MS-DRG 036 · Inpatient stay |
22 | $89,633 | $15,885 | +27% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
22 | $242,284 | $52,496 | about average |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
21 | $72,200 | $10,280 | +77% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
21 | $74,375 | $9,976 | +45% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
20 | $56,449 | $8,711 | +45% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
20 | $59,961 | $8,415 | +97% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
19 | $85,196 | $12,895 | +56% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
19 | $56,491 | $7,425 | +85% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
19 | $39,888 | $8,304 | +7% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
19 | $71,005 | $10,314 | +58% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
19 | $98,567 | $9,523 | +102% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
18 | $311,408 | $46,414 | +36% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
18 | $33,768 | $6,585 | about average |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
18 | $120,086 | $14,553 | +111% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
18 | $133,185 | $18,252 | +67% |
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay |
18 | $95,370 | $17,568 | +11% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
17 | $80,950 | $12,077 | +43% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
17 | $65,257 | $8,836 | +49% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
17 | $47,812 | $14,525 | -25% |
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
17 | $164,260 | $25,397 | +70% |
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay |
17 | $113,429 | $14,957 | +58% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
17 | $49,505 | $8,345 | +35% |
|
Major Chest Trauma with Major Complications
MS-DRG 183 · Inpatient stay |
17 | $124,732 | $12,878 | +78% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
17 | $31,576 | $3,412 | +55% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
16 | $52,207 | $8,891 | +40% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
16 | $229,957 | $29,243 | +66% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
16 | $50,073 | $6,981 | +49% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
16 | $150,369 | $25,773 | +28% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
16 | $56,896 | $9,659 | +51% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
16 | $84,563 | $15,248 | +69% |
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.