Inpatient stay prices at Upmc Pinnacle Hospitals
164 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 |
|---|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
496 | $50,605 | $11,260 | +17% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
458 | $70,586 | $16,689 | +8% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
117 | $50,806 | $16,138 | -36% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
109 | $38,451 | $9,113 | about average |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
106 | $154,566 | $48,680 | -36% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
102 | $43,445 | $8,582 | +5% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
97 | $32,938 | $8,259 | about average |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
92 | $31,167 | $7,036 | -3% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
90 | $31,732 | $7,091 | +7% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
85 | $59,442 | $14,747 | +8% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
85 | $30,626 | $6,783 | about average |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
82 | $48,753 | $9,182 | +7% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
75 | $164,009 | $40,201 | -8% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
74 | $134,719 | $34,922 | -27% |
|
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major
MS-DRG 556 · Inpatient stay |
73 | $31,357 | $7,374 | -17% |
|
Fainting
MS-DRG 312 · Inpatient stay |
69 | $35,752 | $7,442 | about average |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
69 | $49,708 | $11,335 | about average |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
68 | $77,856 | $18,870 | -12% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
66 | $149,285 | $38,023 | -21% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
63 | $77,212 | $16,483 | about average |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
63 | $51,271 | $10,525 | +8% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
61 | $30,192 | $7,089 | about average |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
61 | $45,160 | $9,705 | +11% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
60 | $32,385 | $7,894 | +6% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
60 | $47,353 | $13,096 | -17% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
57 | $32,680 | $7,544 | about average |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
57 | $75,244 | $15,940 | +6% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
56 | $94,239 | $25,212 | -24% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
55 | $54,091 | $11,427 | +16% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
51 | $38,434 | $9,330 | about average |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
49 | $42,976 | $9,241 | -21% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
49 | $85,794 | $19,855 | -15% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
48 | $87,114 | $29,478 | -40% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
48 | $67,233 | $17,538 | -22% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
43 | $30,332 | $8,017 | -22% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
41 | $48,437 | $12,051 | about average |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
41 | $57,822 | $10,626 | +19% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
41 | $27,972 | $5,019 | +11% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
41 | $64,704 | $17,366 | -22% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
41 | $65,376 | $13,440 | +23% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
40 | $71,357 | $14,966 | -30% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
38 | $34,786 | $6,721 | -16% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay |
37 | $166,317 | $43,132 | -29% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
37 | $54,848 | $11,123 | +7% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
37 | $40,887 | $8,146 | +10% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
36 | $68,372 | $22,354 | -37% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
36 | $32,264 | $7,768 | -7% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
35 | $154,636 | $37,961 | -14% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
34 | $78,119 | $18,784 | about average |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
33 | $41,697 | $8,692 | -7% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
33 | $37,183 | $8,134 | about average |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
33 | $54,658 | $12,180 | about average |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
31 | $114,186 | $23,999 | -21% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
31 | $37,988 | $8,299 | about average |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
31 | $48,656 | $14,524 | about average |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
30 | $184,534 | $39,221 | -4% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
30 | $59,606 | $13,033 | +9% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
30 | $91,406 | $18,281 | about average |
|
Kidney Transplant
MS-DRG 652 · Inpatient stay |
30 | $265,197 | $42,165 | -10% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
29 | $51,056 | $10,117 | +22% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
29 | $232,737 | $65,412 | -31% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
29 | $21,823 | $5,178 | about average |
|
Carotid Artery Stent Procedures without Complications/mcc
MS-DRG 036 · Inpatient stay |
28 | $61,416 | $16,128 | -13% |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
27 | $32,191 | $6,483 | -18% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
27 | $37,059 | $9,236 | -14% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
27 | $56,042 | $13,805 | about average |
|
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc
MS-DRG 661 · Inpatient stay |
26 | $40,579 | $9,914 | -14% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
25 | $49,841 | $13,772 | -19% |
|
Stomach, Esophageal and Duodenal Procedures without Complications/mcc
MS-DRG 328 · Inpatient stay |
25 | $75,716 | $14,855 | about average |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
25 | $64,583 | $14,736 | -13% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
25 | $33,991 | $7,951 | +9% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
25 | $63,017 | $21,366 | -39% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
25 | $65,999 | $16,052 | -12% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
24 | $27,618 | $5,136 | +15% |
|
Permanent Cardiac Pacemaker Implant without Complications/mcc
MS-DRG 244 · Inpatient stay |
23 | $82,122 | $15,860 | +8% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
23 | $26,870 | $5,978 | -20% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
23 | $46,611 | $14,474 | -27% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
23 | $79,335 | $41,780 | -55% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
22 | $31,805 | $8,135 | -22% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
22 | $42,454 | $7,769 | +21% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
22 | $117,933 | $21,559 | +4% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
22 | $43,449 | $9,334 | -15% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
22 | $94,682 | $25,190 | -19% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
22 | $68,881 | $16,774 | -17% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
21 | $91,594 | $31,724 | -30% |
|
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with
MS-DRG 617 · Inpatient stay |
21 | $62,562 | $17,843 | -15% |
|
Carotid Artery Stent Procedures with Complications
MS-DRG 035 · Inpatient stay |
20 | $83,187 | $18,943 | -13% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
20 | $32,933 | $7,728 | about average |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
20 | $35,596 | $7,871 | -19% |
|
Peritoneal Adhesiolysis with Complications
MS-DRG 336 · Inpatient stay |
20 | $69,703 | $17,250 | -30% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
20 | $38,168 | $8,764 | +4% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
20 | $29,061 | $7,351 | -10% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
20 | $158,539 | $37,815 | -14% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
19 | $194,867 | $56,277 | -15% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
19 | $35,872 | $6,014 | about average |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
19 | $49,062 | $9,040 | +11% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 221 · Inpatient stay |
19 | $150,046 | $36,936 | -12% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
19 | $50,710 | $14,199 | -38% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complications
MS-DRG 442 · Inpatient stay |
19 | $43,969 | $8,641 | +4% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
19 | $75,379 | $15,681 | +11% |
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.