25/100
#2,042 nationally
Upmc Mercy
1400 Locust Street, Pittsburgh, PA 15219 · (412) 232-8111
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Upmc Mercy billed $6.37 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
- 6.4x
- volume-weighted across all its priced work
- Procedures priced
- 71
- inpatient and outpatient combined
- Rank in PA
- #94
- 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 23% of U.S. hospitals.
Better than 32% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 23% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
745 | $16,446 | $2,070 | +40% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
467 | $29,917 | $3,617 | +45% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
205 | $22,521 | $2,405 | +16% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
85 | $107,506 | $18,660 | +65% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
70 | $15,938 | $2,087 | +10% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
64 | $33,906 | $4,668 | +40% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
61 | $101,361 | $18,518 | +33% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
58 | $20,112 | $1,700 | +71% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
51 | $18,094 | $1,819 | +40% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
43 | $72,008 | $10,372 | +58% |
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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$12,106 | $610 | +286% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$17,370 | $1,430 | +103% |
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
$184,153 | $23,257 | +90% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$99,989 | $15,340 | +89% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$330,915 | $47,609 | +86% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$84,408 | $12,993 | +81% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$73,488 | $12,328 | +80% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$57,467 | $8,707 | +78% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit |
$68,139 | $17,976 | -21% |
|
Other Disorders of the Eye without Major Complications
MS-DRG 125 · Inpatient stay |
$39,139 | $8,597 | -9% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
$116,369 | $26,943 | about average |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$31,786 | $9,129 | about average |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
$224,194 | $45,147 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$24,778 | $2,915 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$11,124 | $1,436 | about average |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$23,766 | $3,090 | about average |
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.