All published prices at Upmc Mercy
71 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 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% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
43 | $26,087 | $3,066 | +26% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
41 | $40,250 | $4,622 | +47% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
38 | $44,900 | $8,559 | +51% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
38 | $28,925 | $3,237 | +27% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
37 | $126,673 | $19,518 | +52% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
36 | $65,242 | $10,057 | +67% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
34 | $59,253 | $4,799 | +64% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
32 | $16,158 | $1,448 | +60% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
31 | $53,337 | $12,865 | +23% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
31 | $31,786 | $9,129 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
30 | $42,615 | $5,039 | +21% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
29 | $131,477 | $27,655 | +17% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
28 | $60,101 | $10,703 | +23% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
28 | $11,124 | $1,436 | about average |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
27 | $13,214 | $1,433 | +16% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
27 | $23,766 | $3,090 | about average |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
25 | $164,299 | $33,315 | +13% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
25 | $15,039 | $1,670 | +33% |
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit |
24 | $68,139 | $17,976 | -21% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
23 | $51,547 | $12,827 | +8% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
23 | $96,001 | $13,237 | +60% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
22 | $224,194 | $45,147 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
22 | $66,952 | $16,216 | +22% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
20 | $145,171 | $21,454 | +43% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
19 | $57,991 | $12,753 | about average |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
19 | $60,729 | $10,007 | +49% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
19 | $40,126 | $8,106 | +31% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
19 | $43,369 | $6,390 | +9% |
|
Major Chest Trauma with Major Complications
MS-DRG 183 · Inpatient stay |
18 | $81,328 | $15,824 | +16% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
18 | $28,281 | $2,847 | +48% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
17 | $330,915 | $47,609 | +86% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
17 | $92,595 | $16,870 | +33% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
16 | $120,882 | $20,882 | +50% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
16 | $140,665 | $20,408 | +64% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
15 | $49,054 | $7,339 | +37% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
15 | $97,965 | $14,574 | +60% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
14 | $236,493 | $40,269 | +23% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
14 | $84,408 | $12,993 | +81% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
14 | $44,911 | $8,872 | +41% |
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
14 | $184,153 | $23,257 | +90% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
13 | $57,467 | $8,707 | +78% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
13 | $69,068 | $13,741 | +42% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
13 | $73,488 | $12,328 | +80% |
|
Traumatic Stupor and Coma <1 Hour with Major Complications
MS-DRG 085 · Inpatient stay |
13 | $119,289 | $19,914 | +22% |
|
Stomach, Esophageal and Duodenal Procedures with Complications
MS-DRG 327 · Inpatient stay |
13 | $175,678 | $23,434 | +53% |
|
Pneumothorax with Complications
MS-DRG 200 · Inpatient stay |
13 | $56,569 | $10,376 | +18% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
12 | $62,004 | $12,224 | +28% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
12 | $42,317 | $8,716 | +38% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
12 | $99,989 | $15,340 | +89% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
12 | $56,540 | $9,881 | +72% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
12 | $24,778 | $2,915 | about average |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
12 | $35,743 | $3,421 | +63% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
12 | $47,937 | $5,231 | +40% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
12 | $12,106 | $610 | +286% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
11 | $60,177 | $9,397 | +46% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
11 | $84,399 | $16,607 | +49% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
11 | $50,188 | $10,349 | +28% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
11 | $116,369 | $26,943 | about average |
|
Other Disorders of the Eye without Major Complications
MS-DRG 125 · Inpatient stay |
11 | $39,139 | $8,597 | -9% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
11 | $17,370 | $1,430 | +103% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
11 | $78,661 | $9,819 | +16% |
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.