All published prices at Upmc Presbyterian Shadyside
240 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 |
|---|---|---|---|---|
|
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% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
137 | $62,019 | $5,070 | +77% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
131 | $58,551 | $6,913 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
123 | $45,634 | $3,094 | +121% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
119 | $125,316 | $9,750 | +85% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
117 | $22,757 | $1,819 | +76% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
109 | $61,946 | $2,612 | +71% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
104 | $394,623 | $42,513 | +105% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
104 | $237,220 | $21,159 | +79% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
103 | $177,336 | $18,660 | +222% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
100 | $61,213 | $4,622 | +123% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
96 | $16,093 | $1,430 | +88% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
92 | $53,260 | $5,157 | +55% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
91 | $36,540 | $2,538 | +107% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
85 | $82,618 | $8,825 | +156% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
83 | $43,013 | $2,845 | +111% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
78 | $17,001 | $1,436 | +51% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
76 | $243,067 | $34,052 | +142% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
76 | $47,872 | $3,349 | +119% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
75 | $199,632 | $20,594 | +162% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
75 | $58,665 | $5,105 | +69% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
74 | $257,287 | $26,961 | +229% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
73 | $44,004 | $3,090 | +89% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
73 | $26,067 | $1,675 | +130% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
70 | $74,167 | $11,284 | +97% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
70 | $681,523 | $56,716 | +283% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
68 | $126,828 | $18,146 | +59% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
67 | $115,974 | $10,975 | +199% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
67 | $91,435 | $10,244 | +134% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
66 | $83,690 | $9,900 | +154% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
65 | $164,519 | $17,653 | +190% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
64 | $157,287 | $13,336 | +225% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
60 | $842,515 | $71,439 | +151% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
59 | $90,135 | $9,492 | +203% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
59 | $60,841 | $1,503 | +434% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
57 | $56,627 | $3,405 | +137% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
56 | $137,575 | $14,553 | +184% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications
MS-DRG 847 · Inpatient stay |
56 | $119,676 | $13,630 | +123% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
55 | $255,373 | $35,070 | +76% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
54 | $147,118 | $13,901 | +216% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
54 | $552,341 | $50,688 | +208% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
54 | $140,076 | $15,800 | +165% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
53 | $163,292 | $18,384 | +118% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
51 | $134,154 | $14,884 | +161% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
50 | $170,170 | $17,802 | +177% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
49 | $351,489 | $56,408 | +46% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
49 | $156,528 | $17,298 | +137% |
|
Other Respiratory System Diagnoses with Major Complications
MS-DRG 205 · Inpatient stay |
48 | $281,584 | $24,721 | +269% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
47 | $150,231 | $11,414 | +230% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
47 | $80,504 | $9,430 | +157% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
47 | $91,198 | $9,112 | +198% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
46 | $86,525 | $10,131 | +184% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
46 | $82,108 | $5,824 | +108% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
46 | $33,138 | $2,087 | +129% |
|
Pancreas, Liver and Shunt Procedures with Complications
MS-DRG 406 · Inpatient stay |
45 | $267,843 | $28,025 | +89% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
45 | $192,876 | $19,591 | +136% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
45 | $105,811 | $12,152 | +106% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
44 | $218,577 | $20,986 | +162% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
44 | $104,517 | $10,974 | +166% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
44 | $131,593 | $9,531 | +155% |
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
42 | $1,856,698 | $189,679 | +111% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
42 | $508,555 | $51,581 | +177% |
|
Stomach, Esophageal and Duodenal Procedures with Complications
MS-DRG 327 · Inpatient stay |
42 | $278,939 | $26,023 | +142% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
41 | $86,005 | $9,995 | +111% |
|
Fainting
MS-DRG 312 · Inpatient stay |
41 | $89,522 | $9,803 | +144% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
41 | $287,441 | $31,008 | +100% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
41 | $82,360 | $10,614 | +99% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
40 | $253,695 | $43,654 | +34% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
40 | $98,632 | $10,487 | +138% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
40 | $147,738 | $17,758 | +130% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
39 | $179,679 | $20,133 | +77% |
|
Coronary Bypass without Cardiac Catheterization with Major Complications
MS-DRG 235 · Inpatient stay |
39 | $723,350 | $53,378 | +201% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
39 | $170,740 | $20,112 | +124% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
39 | $157,015 | $15,631 | +64% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
38 | $67,764 | $8,416 | +121% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
38 | $78,545 | $6,113 | +104% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
37 | $315,280 | $34,213 | +117% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
37 | $300,488 | $24,571 | +242% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
37 | $40,731 | $7,372 | +62% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
37 | $380,287 | $55,566 | +71% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
37 | $209,996 | $28,055 | +76% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
36 | $520,013 | $56,673 | +127% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
35 | $248,280 | $33,493 | +91% |
|
Acute Leukemia with Major Complications
MS-DRG 834 · Inpatient stay |
35 | $677,198 | $63,475 | +150% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
35 | $51,704 | $5,090 | +72% |
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
33 | $100,493 | $10,137 | +180% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
32 | $336,834 | $29,297 | +127% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
31 | $175,831 | $15,436 | +222% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
31 | $179,199 | $18,440 | +152% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
31 | $111,439 | $13,048 | +173% |
|
Stomach, Esophageal and Duodenal Procedures with Major Complications
MS-DRG 326 · Inpatient stay |
31 | $588,301 | $58,416 | +164% |
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.