26/100
#2,010 nationally
Upmc St Margaret
815 Freeport Road, Pittsburgh, PA 15215 · (412) 784-4000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Upmc St Margaret billed $6.93 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
- 6.9x
- volume-weighted across all its priced work
- Procedures priced
- 58
- inpatient and outpatient combined
- Rank in PA
- #93
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 21% of U.S. hospitals.
Better than 27% of U.S. hospitals.
Better than 26% of U.S. hospitals.
Better than 40% 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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
282 | $21,697 | $2,076 | +85% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
215 | $76,709 | $11,693 | +23% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
161 | $26,329 | $2,409 | +35% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
114 | $14,068 | $1,713 | +24% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
93 | $54,362 | $10,486 | +25% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
92 | $61,344 | $6,334 | +54% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
83 | $33,967 | $2,839 | +67% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
75 | $54,933 | $4,622 | +100% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
69 | $86,652 | $15,480 | +33% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
68 | $14,660 | $1,419 | +31% |
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 |
|---|---|---|---|
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$113,762 | $15,969 | +122% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$54,933 | $4,622 | +100% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$22,230 | $1,699 | +89% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$21,697 | $2,076 | +85% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$37,074 | $3,114 | +80% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$58,109 | $8,096 | +68% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$298,717 | $45,477 | +68% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$33,967 | $2,839 | +67% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$7,389 | $1,354 | -14% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$44,762 | $10,923 | -8% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$34,646 | $7,155 | -6% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$37,633 | $7,648 | -4% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$12,580 | $1,819 | about average |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$46,274 | $10,590 | about average |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
$127,838 | $23,658 | about average |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$37,403 | $4,090 | +4% |
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.