All published prices at Upmc St Margaret
58 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 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% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
61 | $4,696 | $610 | +50% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
51 | $105,859 | $14,809 | +32% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
51 | $11,880 | $1,377 | +18% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
51 | $47,665 | $5,078 | +36% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
48 | $20,248 | $2,847 | +6% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
47 | $72,493 | $13,564 | +32% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
42 | $95,505 | $16,610 | +15% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
41 | $34,645 | $6,973 | +7% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
38 | $37,074 | $3,114 | +80% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
35 | $12,580 | $1,819 | about average |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
29 | $41,134 | $6,516 | +38% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
27 | $51,986 | $10,903 | +7% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
27 | $67,357 | $10,502 | +45% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
27 | $191,233 | $27,788 | +32% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
27 | $22,230 | $1,699 | +89% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
26 | $42,940 | $7,000 | +41% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
26 | $46,597 | $5,105 | +35% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
26 | $33,543 | $3,520 | +62% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
25 | $45,667 | $7,999 | +39% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
24 | $33,346 | $7,293 | +9% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
22 | $67,554 | $10,705 | +28% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
20 | $51,143 | $7,316 | +61% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
20 | $37,633 | $7,648 | -4% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
20 | $26,802 | $2,506 | +62% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
19 | $127,838 | $23,658 | about average |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
18 | $298,717 | $45,477 | +68% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
18 | $37,403 | $4,090 | +4% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
17 | $42,302 | $8,076 | +14% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
17 | $103,529 | $16,263 | +46% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
17 | $104,349 | $16,675 | +25% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
17 | $38,537 | $3,090 | +66% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
16 | $60,204 | $8,564 | +46% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
16 | $55,986 | $7,987 | +43% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
16 | $23,133 | $2,538 | +31% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
15 | $46,274 | $10,590 | about average |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
15 | $44,762 | $10,923 | -8% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
15 | $7,389 | $1,354 | -14% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
13 | $33,454 | $6,294 | +9% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
13 | $34,646 | $7,155 | -6% |
|
Bone Diseases and Arthropathies without Major Complications
MS-DRG 554 · Inpatient stay |
13 | $37,603 | $7,074 | +17% |
|
Fainting
MS-DRG 312 · Inpatient stay |
12 | $45,449 | $7,299 | +24% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
12 | $113,762 | $15,969 | +122% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
12 | $118,179 | $19,102 | +9% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
12 | $49,706 | $4,918 | +45% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
11 | $91,192 | $12,655 | +62% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
11 | $58,109 | $8,096 | +68% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
11 | $74,712 | $12,321 | +34% |
|
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with
MS-DRG 617 · Inpatient stay |
11 | $92,098 | $16,446 | +25% |
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.