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 |
|---|---|---|---|---|
|
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 |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
27 | $32,191 | $6,483 | -18% |
|
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% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
25 | $33,991 | $7,951 | +9% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
25 | $64,583 | $14,736 | -13% |
|
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% |
|
Stomach, Esophageal and Duodenal Procedures without Complications/mcc
MS-DRG 328 · Inpatient stay |
25 | $75,716 | $14,855 | about average |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
24 | $27,618 | $5,136 | +15% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
24 | $24,538 | $5,778 | -45% |
|
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% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
22 | $117,933 | $21,559 | +4% |
|
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% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
22 | $42,454 | $7,769 | +21% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
22 | $43,449 | $9,334 | -15% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
22 | $20,885 | $5,126 | -20% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
22 | $62,781 | $16,361 | -22% |
|
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% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
20 | $35,596 | $7,871 | -19% |
|
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% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
20 | $32,933 | $7,728 | about average |
|
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% |
|
Carotid Artery Stent Procedures with Complications
MS-DRG 035 · Inpatient stay |
20 | $83,187 | $18,943 | -13% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
20 | $16,082 | $3,432 | -26% |
|
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 |
|
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% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
19 | $49,062 | $9,040 | +11% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
19 | $75,379 | $15,681 | +11% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 221 · Inpatient stay |
19 | $150,046 | $36,936 | -12% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
18 | $148,687 | $29,760 | +7% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
18 | $57,732 | $12,259 | +4% |
|
Coronary Bypass without Cardiac Catheterization with Major Complications
MS-DRG 235 · Inpatient stay |
18 | $195,660 | $47,999 | -19% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
18 | $77,224 | $17,513 | -5% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
18 | $88,790 | $19,653 | -13% |
|
Complications of Treatment with Complications
MS-DRG 920 · Inpatient stay |
17 | $30,964 | $8,792 | -30% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications
MS-DRG 982 · Inpatient stay |
17 | $100,460 | $22,025 | -4% |
|
Bone Diseases and Arthropathies without Major Complications
MS-DRG 554 · Inpatient stay |
17 | $30,680 | $7,413 | -5% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
16 | $91,666 | $20,003 | +14% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
16 | $298,285 | $71,551 | -3% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
16 | $96,351 | $27,617 | -34% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
16 | $159,892 | $31,605 | +4% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
16 | $52,545 | $13,303 | -22% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
15 | $47,420 | $14,347 | -28% |
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay |
15 | $120,009 | $34,910 | -27% |
|
Heart Attack (uncomplicated)
MS-DRG 282 · Inpatient stay |
15 | $35,800 | $6,227 | -7% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
15 | $33,891 | $6,761 | about average |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
15 | $72,480 | $14,245 | about average |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
15 | $77,925 | $37,771 | -35% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
15 | $52,295 | $8,446 | +33% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
15 | $38,569 | $9,011 | -7% |
|
Kidney and Ureter Procedures for Non-neoplasm with Major Complications
MS-DRG 659 · Inpatient stay |
15 | $76,556 | $20,720 | -22% |
|
Signs and Symptoms of Musculoskeletal System and Connective Tissue with Major
MS-DRG 555 · Inpatient stay |
15 | $24,340 | $11,429 | -70% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
15 | $23,839 | $5,107 | -21% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications
MS-DRG 234 · Inpatient stay |
14 | $177,738 | $41,615 | -19% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
14 | $25,244 | $6,324 | -23% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
14 | $95,732 | $20,181 | -12% |
|
Hernia Procedures Except Inguinal and Femoral with Complications
MS-DRG 354 · Inpatient stay |
14 | $60,080 | $15,623 | -29% |
|
Hernia Procedures Except Inguinal and Femoral without Complications/mcc
MS-DRG 355 · Inpatient stay |
14 | $48,853 | $10,574 | -26% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
14 | $51,746 | $13,212 | -25% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
14 | $64,186 | $12,962 | +25% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
14 | $40,811 | $9,682 | +6% |
|
Laparoscopic Cholecystectomy without C.d.e. without Complications/mcc
MS-DRG 419 · Inpatient stay |
14 | $49,777 | $11,480 | -29% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
14 | $21,647 | $4,075 | -28% |
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay |
13 | $51,567 | $14,030 | -30% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
13 | $246,643 | $63,897 | -8% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
13 | $47,836 | $8,460 | +15% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
13 | $48,498 | $13,078 | -29% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
13 | $50,633 | $12,346 | -23% |
|
Stomach, Esophageal and Duodenal Procedures with Complications
MS-DRG 327 · Inpatient stay |
13 | $96,169 | $21,143 | -16% |
|
Digestive Malignancy with Complications
MS-DRG 375 · Inpatient stay |
13 | $51,221 | $10,313 | -4% |
|
Other Respiratory System Operating Room Procedures with Major Complications
MS-DRG 166 · Inpatient stay |
13 | $161,405 | $31,438 | +11% |
|
Disorders of Pancreas Except Malignancy with Major Complications
MS-DRG 438 · Inpatient stay |
13 | $109,550 | $17,971 | +58% |
|
Major Male Pelvic Procedures without Complications/mcc
MS-DRG 708 · Inpatient stay |
13 | $86,417 | $13,016 | about average |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
13 | $80,981 | $17,422 | -15% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
12 | $128,864 | $43,863 | -27% |
|
Major Chest Procedures without Complications/mcc
MS-DRG 165 · Inpatient stay |
12 | $104,318 | $17,788 | +25% |
|
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D
MS-DRG 464 · Inpatient stay |
12 | $93,211 | $24,183 | -32% |
|
Biopsies of Musculoskeletal System and Connective Tissue with Complications
MS-DRG 478 · Inpatient stay |
12 | $87,929 | $20,023 | -23% |
|
Other Kidney and Urinary Tract Procedures with Complications
MS-DRG 674 · Inpatient stay |
12 | $98,294 | $20,187 | about average |
|
Postoperative or Post-traumatic Infections with Operating Room Procedures with
MS-DRG 857 · Inpatient stay |
12 | $56,374 | $17,294 | -42% |
|
Other Operating Room Procedures for Injuries with Complications
MS-DRG 908 · Inpatient stay |
12 | $68,204 | $16,503 | -24% |
|
Respiratory Neoplasms with Complications
MS-DRG 181 · Inpatient stay |
12 | $37,877 | $9,418 | -27% |
|
Other Digestive System Diagnoses without Complications/mcc
MS-DRG 395 · Inpatient stay |
12 | $31,807 | $6,520 | -12% |
|
O.r. Procedures for Obesity without Complications/mcc
MS-DRG 621 · Inpatient stay |
12 | $32,600 | $16,254 | -50% |
|
Minor Skin Disorders without Major Complications
MS-DRG 607 · Inpatient stay |
12 | $25,553 | $7,656 | -33% |
|
Kidney and Urinary Tract Signs and Symptoms without Major Complications
MS-DRG 696 · Inpatient stay |
12 | $23,653 | $6,913 | -4% |
|
Level 1 Icd and Similar Procedures
APC 5231 · Hospital outpatient visit |
12 | $84,116 | $21,069 | -11% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
11 | $63,594 | $11,330 | +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.