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 |
|---|---|---|---|---|
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
16 | $145,892 | $16,854 | +92% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
16 | $164,335 | $28,056 | +26% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
16 | $127,729 | $20,732 | +26% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
16 | $53,299 | $6,873 | +35% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
16 | $49,715 | $5,242 | +66% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
15 | $133,463 | $19,964 | +42% |
|
Acute Myocardial Infarction, Expired with Major Complications
MS-DRG 283 · Inpatient stay |
15 | $121,721 | $17,579 | +43% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
15 | $53,973 | $8,387 | +56% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
15 | $374,844 | $53,259 | +40% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
15 | $69,598 | $12,351 | +16% |
|
Traumatic Stupor and Coma <1 Hour with Major Complications
MS-DRG 085 · Inpatient stay |
15 | $165,059 | $19,076 | +69% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
15 | $76,783 | $14,081 | +15% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
15 | $24,852 | $4,036 | +14% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
15 | $45,344 | $9,703 | about average |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
14 | $102,165 | $17,131 | +31% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
13 | $354,280 | $33,322 | +93% |
|
Respiratory System Diagnosis with Ventilator Support >96 Hours
MS-DRG 207 · Inpatient stay |
13 | $344,723 | $54,192 | +35% |
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
13 | $126,709 | $28,580 | -7% |
|
Carotid Artery Stent Procedures with Complications
MS-DRG 035 · Inpatient stay |
13 | $106,339 | $20,153 | +12% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
13 | $123,229 | $20,485 | +29% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
13 | $47,971 | $6,020 | +40% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
12 | $247,246 | $29,670 | +70% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
12 | $72,817 | $12,267 | +31% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
12 | $114,391 | $19,220 | +38% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
12 | $163,462 | $20,809 | +46% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
12 | $162,791 | $32,603 | +12% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
12 | $54,175 | $8,064 | +55% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay |
12 | $452,479 | $45,328 | +94% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
12 | $162,012 | $25,701 | +36% |
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay |
12 | $49,079 | $10,874 | +20% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
12 | $30,993 | $2,959 | +87% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
12 | $15,017 | $720 | +379% |
|
Heart Attack (uncomplicated)
MS-DRG 282 · Inpatient stay |
11 | $57,693 | $6,664 | +50% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
11 | $87,986 | $12,294 | +105% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
11 | $172,455 | $26,660 | +53% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
11 | $283,138 | $44,496 | +26% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures without
MS-DRG 517 · Inpatient stay |
11 | $86,077 | $13,275 | +17% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
11 | $74,669 | $8,880 | +90% |
|
Kidney and Ureter Procedures for Non-neoplasm with Major Complications
MS-DRG 659 · Inpatient stay |
11 | $168,531 | $23,357 | +71% |
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.