7/100
#2,471 nationally
Upmc Presbyterian Shadyside
200 Lothrop Street, Pittsburgh, PA 15213 · (412) 647-2345
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Upmc Presbyterian Shadyside billed $9.99 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
- 10.0x
- volume-weighted across all its priced work
- Procedures priced
- 240
- inpatient and outpatient combined
- Rank in PA
- #117
- 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 6% of U.S. hospitals.
Better than 10% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 5% 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 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
420 | $26,411 | $1,673 | +125% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
308 | $24,859 | $1,435 | +147% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
306 | $233,517 | $22,790 | +258% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
270 | $36,232 | $2,839 | +90% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
216 | $32,730 | $2,838 | +30% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
214 | $51,861 | $3,225 | +129% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
213 | $96,644 | $11,598 | +55% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
205 | $47,501 | $2,360 | +144% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
177 | $128,276 | $14,435 | +196% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
142 | $80,288 | $6,251 | +101% |
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 |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$17,857 | $610 | +469% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$60,841 | $1,503 | +434% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
$286,801 | $22,266 | +399% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$338,012 | $24,695 | +375% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$357,639 | $34,286 | +315% |
|
Acute Myocardial Infarction, Expired with Major Complications
MS-DRG 283 · Inpatient stay |
$346,079 | $28,509 | +306% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$681,523 | $56,716 | +283% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
$282,061 | $22,003 | +280% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$58,551 | $6,913 | about average |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
$43,258 | $7,506 | +28% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$32,730 | $2,838 | +30% |
|
Allogeneic Bone Marrow Transplant
MS-DRG 014 · Inpatient stay |
$648,526 | $169,738 | +31% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$253,695 | $43,654 | +34% |
|
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with
MS-DRG 427 · Inpatient stay |
$423,421 | $66,475 | +37% |
|
Major Male Pelvic Procedures without Complications/mcc
MS-DRG 708 · Inpatient stay |
$123,300 | $13,846 | +43% |
|
Kidney Transplant
MS-DRG 652 · Inpatient stay |
$423,983 | $38,938 | +43% |
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.