CostGrade

All published prices at Upmc Passavant

112 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.

D
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
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

83 $30,438 $2,863 +49%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

82 $80,101 $11,154 +46%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

76 $17,153 $1,410 +53%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

70 $27,586 $3,114 +34%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

69 $43,664 $5,154 +24%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

67 $24,319 $2,779 +27%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

63 $36,175 $4,446 +32%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

59 $63,097 $9,395 +35%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

58 $31,959 $2,843 +27%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

55 $57,011 $6,741 +38%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

53 $43,714 $6,593 +33%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

53 $33,204 $3,345 +46%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

52 $14,100 $1,725 +24%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

51 $10,980 $2,081 -7%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

46 $43,927 $7,134 +12%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

46 $42,693 $5,449 +43%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

44 $143,019 $17,886 +42%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

43 $131,576 $24,117 -9%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

43 $157,413 $19,278 +45%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

41 $29,303 $4,035 +16%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

41 $121,580 $9,819 +80%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

40 $33,924 $3,090 +46%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

40 $61,962 $8,845 +4%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

39 $37,428 $6,033 +23%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

38 $51,927 $7,309 +40%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

38 $104,768 $17,369 about average
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

37 $39,564 $5,275 +29%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

37 $21,987 $2,507 +33%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

34 $44,260 $6,148 +41%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

34 $64,284 $10,355 +13%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

33 $8,293 $1,430 -3%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

30 $237,196 $20,509 +79%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

29 $91,318 $12,848 +14%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

29 $49,694 $6,113 +29%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

27 $61,437 $7,435 +57%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

27 $30,840 $3,405 +29%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

26 $66,150 $9,050 +38%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

26 $93,605 $10,420 +53%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

26 $148,710 $14,514 +46%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

26 $114,394 $21,095 -4%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

26 $21,834 $1,487 +91%
Respiratory Failure

MS-DRG 189 · Inpatient stay

25 $67,063 $10,089 +39%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

25 $70,259 $12,044 about average
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

25 $195,789 $35,437 +10%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

24 $71,134 $9,376 +34%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

24 $34,346 $6,136 -7%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

23 $35,404 $5,575 +16%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

23 $63,347 $7,593 +55%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

23 $40,912 $7,589 +8%
Stomach, Esophageal and Duodenal Procedures with Complications

MS-DRG 327 · Inpatient stay

22 $175,181 $16,372 +52%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

22 $23,219 $2,538 +31%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

21 $37,977 $5,475 +20%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

21 $121,617 $15,573 +38%
Fainting

MS-DRG 312 · Inpatient stay

21 $56,987 $5,937 +56%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

21 $261,414 $21,297 +82%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

21 $45,909 $6,564 +18%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

21 $49,142 $5,105 +42%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

21 $24,439 $2,792 +35%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

20 $90,755 $14,051 +9%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

19 $240,131 $28,537 +34%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

19 $57,738 $7,428 +55%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

18 $100,117 $9,501 +95%
Major Chest Procedures without Complications/mcc

MS-DRG 165 · Inpatient stay

18 $159,825 $13,772 +92%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

17 $57,324 $6,834 +26%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

17 $56,059 $5,882 +28%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

17 $42,482 $8,397 -10%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

17 $189,802 $41,874 -21%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

17 $140,751 $17,365 +47%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

16 $246,023 $36,059 +39%
Stomach, Esophageal and Duodenal Procedures with Major Complications

MS-DRG 326 · Inpatient stay

16 $286,508 $36,614 +28%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

16 $51,865 $5,824 +31%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

16 $24,096 $3,262 +10%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

15 $100,507 $14,599 +28%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

15 $88,760 $15,735 +4%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

15 $74,490 $11,690 +16%
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major

MS-DRG 556 · Inpatient stay

15 $32,481 $7,125 -14%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

14 $47,682 $5,480 +16%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

14 $265,433 $23,546 +113%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

14 $31,593 $5,337 -4%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

14 $44,598 $5,497 +27%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

14 $113,781 $10,928 +69%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

14 $67,828 $8,736 +32%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

14 $117,793 $27,655 +4%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

13 $61,914 $7,431 +38%
Peritoneal Adhesiolysis with Complications

MS-DRG 336 · Inpatient stay

13 $131,954 $17,127 +33%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

13 $47,258 $5,926 +32%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

13 $63,507 $10,149 +24%
Bone Diseases and Arthropathies without Major Complications

MS-DRG 554 · Inpatient stay

13 $39,844 $5,676 +24%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

13 $109,063 $9,531 +112%
COPD (severe)

MS-DRG 190 · Inpatient stay

12 $70,181 $6,567 +68%

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.