All published prices at Upmc Horizon
27 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
79 | $63,444 | $11,740 | about average |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
65 | $16,901 | $1,819 | +31% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
59 | $25,473 | $3,114 | +23% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
48 | $48,404 | $4,589 | +76% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
46 | $9,271 | $1,448 | -8% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
41 | $8,215 | $1,725 | -28% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
39 | $32,677 | $9,450 | -25% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
38 | $39,918 | $9,509 | -14% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
33 | $18,162 | $2,386 | -7% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
29 | $45,917 | $12,618 | -30% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
27 | $73,811 | $13,700 | -8% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
26 | $22,316 | $2,847 | +17% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
23 | $28,649 | $6,390 | -4% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
21 | $52,277 | $6,390 | +31% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
20 | $14,081 | $1,699 | +20% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
19 | $33,675 | $6,393 | +6% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
19 | $10,159 | $1,375 | -10% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
18 | $50,313 | $11,412 | -9% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
17 | $29,352 | $6,246 | -9% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
17 | $25,488 | $6,757 | -16% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
15 | $48,100 | $8,558 | about average |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
14 | $34,938 | $7,639 | -6% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
13 | $38,918 | $8,070 | -7% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
13 | $31,585 | $2,891 | +55% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
13 | $25,741 | $2,793 | +42% |
|
Fainting
MS-DRG 312 · Inpatient stay |
12 | $36,016 | $6,845 | about average |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
11 | $27,840 | $5,970 | -9% |
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.