24/100
#2,073 nationally
Upmc Passavant
9100 Babcock Boulevard, Pittsburgh, PA 15237 · (412) 367-6700
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Upmc Passavant billed $7.60 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
- 7.6x
- volume-weighted across all its priced work
- Procedures priced
- 112
- inpatient and outpatient combined
- Rank in PA
- #97
- 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 13% of U.S. hospitals.
Better than 29% of U.S. hospitals.
Better than 27% of U.S. hospitals.
Better than 45% 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
218 | $77,952 | $11,694 | +25% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
143 | $54,711 | $8,503 | +26% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
131 | $18,896 | $1,808 | +46% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
130 | $28,860 | $2,430 | +49% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
119 | $55,826 | $6,390 | +40% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
115 | $17,722 | $1,688 | +51% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
106 | $104,488 | $13,641 | +60% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
87 | $14,653 | $1,435 | +45% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
85 | $42,146 | $5,700 | +31% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
85 | $85,182 | $16,259 | about average |
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 |
|---|---|---|---|
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$265,433 | $23,546 | +113% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$109,063 | $9,531 | +112% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$100,117 | $9,501 | +95% |
|
Digestive Malignancy with Complications
MS-DRG 375 · Inpatient stay |
$103,926 | $9,598 | +95% |
|
Major Chest Procedures without Complications/mcc
MS-DRG 165 · Inpatient stay |
$159,825 | $13,772 | +92% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$21,834 | $1,487 | +91% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$261,414 | $21,297 | +82% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$121,580 | $9,819 | +80% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
$189,802 | $41,874 | -21% |
|
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major
MS-DRG 556 · Inpatient stay |
$32,481 | $7,125 | -14% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$42,482 | $8,397 | -10% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$131,576 | $24,117 | -9% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
$22,077 | $3,814 | -8% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$10,980 | $2,081 | -7% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$34,346 | $6,136 | -7% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
$114,394 | $21,095 | -4% |
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.