All published prices at Upmc Somerset
21 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 |
84 | $10,410 | $2,596 | -46% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
50 | $28,785 | $15,298 | -56% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
47 | $11,205 | $1,948 | -13% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
36 | $6,684 | $1,847 | -41% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
30 | $20,722 | $10,882 | -43% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
28 | $12,077 | $3,335 | -42% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
25 | $5,566 | $1,551 | -45% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
24 | $13,145 | $3,122 | -48% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
23 | $42,988 | $12,571 | -31% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
19 | $21,209 | $10,246 | -54% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
19 | $11,925 | $2,229 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
17 | $21,708 | $10,269 | -50% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
17 | $41,093 | $10,513 | -39% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
15 | $12,898 | $2,718 | -27% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
15 | $19,094 | $4,950 | -30% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
14 | $25,982 | $12,925 | -53% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
14 | $16,682 | $9,447 | -66% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
13 | $30,800 | $6,843 | -23% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
12 | $15,851 | $8,022 | -60% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
12 | $16,633 | $3,096 | -18% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
12 | $12,587 | $3,049 | -34% |
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.