All published prices at Upmc Pinnacle Hospitals
209 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,049 | $16,097 | $2,433 | -17% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
697 | $1,585 | $280 | -49% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
623 | $7,620 | $1,245 | -41% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
578 | $36,989 | $11,761 | -41% |
|
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% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
372 | $17,992 | $2,913 | -29% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
321 | $16,625 | $2,677 | -19% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
259 | $9,401 | $1,441 | -7% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
221 | $18,627 | $2,846 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
205 | $32,164 | $5,110 | -8% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
164 | $19,097 | $3,100 | -18% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
162 | $28,120 | $6,411 | -29% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
162 | $19,334 | $3,963 | -30% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
142 | $99,421 | $21,229 | -25% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
139 | $55,973 | $9,791 | -17% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
138 | $11,231 | $1,695 | -4% |
|
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 |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
107 | $28,902 | $5,046 | -17% |
|
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% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
98 | $51,041 | $16,511 | -39% |
|
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% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
92 | $52,400 | $9,562 | about average |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
90 | $31,732 | $7,091 | +7% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
90 | $19,010 | $2,501 | +8% |
|
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% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
79 | $6,975 | $1,435 | -19% |
|
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% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
73 | $14,462 | $2,901 | -29% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
73 | $27,687 | $5,999 | -28% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
71 | $9,161 | $1,730 | -19% |
|
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 |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
69 | $54,824 | $8,999 | -8% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
68 | $77,856 | $18,870 | -12% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
68 | $7,773 | $1,440 | -31% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
66 | $149,285 | $38,023 | -21% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
65 | $14,951 | $3,356 | -34% |
|
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% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
62 | $80,657 | $15,682 | -16% |
|
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% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
61 | $36,551 | $4,924 | about average |
|
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% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
60 | $12,169 | $2,773 | -33% |
|
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% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
57 | $22,680 | $3,416 | -5% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
56 | $94,239 | $25,212 | -24% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
56 | $32,799 | $5,248 | -5% |
|
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% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
48 | $67,233 | $17,538 | -22% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
48 | $87,114 | $29,478 | -40% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
46 | $41,953 | $7,613 | +11% |
|
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% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
41 | $37,139 | $5,844 | -6% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
41 | $125,630 | $29,394 | -15% |
|
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% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
38 | $7,396 | $1,521 | -35% |
|
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% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay |
37 | $166,317 | $43,132 | -29% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
36 | $32,264 | $7,768 | -7% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
36 | $68,372 | $22,354 | -37% |
|
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 |
|
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 |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
33 | $41,697 | $8,692 | -7% |
|
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 |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
31 | $14,823 | $2,467 | -11% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
31 | $99,042 | $27,745 | -12% |
|
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% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
29 | $21,823 | $5,178 | about average |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
29 | $232,737 | $65,412 | -31% |
|
Carotid Artery Stent Procedures without Complications/mcc
MS-DRG 036 · Inpatient stay |
28 | $61,416 | $16,128 | -13% |
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.