Upmc Passavant
UPMC Passavant in Pittsburgh charges 9.5x the Medicare reimbursement rate across 79 analyzed procedures, representing a significant markup for this nonprofit hospital.
Pittsburgh, PA 15237 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
F
Very high
Avg markup vs Medicare
9.53x
Charge / Medicare rate
Max markup
17.19x
Worst procedure
Procedures analyzed
79
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $61,468 | $30,734 | — | 17.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $147,813 | $73,906 | — | 15.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $75,185 | $37,593 | — | 13.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $56,242 | $28,121 | — | 13.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $82,922 | $41,461 | — | 12.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $60,555 | $30,278 | — | 12.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $206,068 | $103,034 | — | 12.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $166,276 | $83,138 | — | 12.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $43,688 | $21,844 | — | 11.8x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $180,967 | $90,484 | — | 11.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $56,855 | $28,427 | — | 11.5x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $23,591 | $11,796 | — | 11.5x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $91,107 | $45,553 | — | 11.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $40,393 | $20,196 | — | 11.2x |
| HYPERTENSION WITHOUT MCC | 305 | $39,789 | $19,894 | — | 11.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $23,039 | $11,520 | — | 11x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $202,992 | $101,496 | — | 10.9x |
| CHEST PAIN | 313 | $33,068 | $16,534 | — | 10.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $39,659 | $19,830 | — | 10.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $43,699 | $21,850 | — | 10.6x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $37,631 | $18,816 | — | 10.5x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $65,260 | $32,630 | — | 10.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $37,623 | $18,812 | — | 10.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $242,983 | $121,492 | — | 10.3x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $143,207 | $71,603 | — | 10.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $50,675 | $25,337 | — | 10.2x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $58,271 | $29,135 | — | 10.2x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $203,173 | $101,587 | — | 10.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $38,444 | $19,222 | — | 10.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $129,896 | $64,948 | — | 10.1x |
| DYSEQUILIBRIUM | 149 | $36,696 | $18,348 | — | 10x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $82,106 | $41,053 | — | 10x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $62,483 | $31,242 | — | 9.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $38,284 | $19,142 | — | 9.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $44,244 | $22,122 | — | 9.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $102,682 | $51,341 | — | 9.7x |
| CELLULITIS WITHOUT MCC | 603 | $43,331 | $21,666 | — | 9.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $128,936 | $64,468 | — | 9.6x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $281,314 | $140,657 | — | 9.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $34,388 | $17,194 | — | 9.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $54,463 | $27,231 | — | 9.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $48,475 | $24,237 | — | 9.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $53,305 | $26,653 | — | 9.4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $41,434 | $20,717 | — | 9.2x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $131,922 | $65,961 | — | 9.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $48,544 | $24,272 | — | 9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $60,934 | $30,467 | — | 9x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $108,152 | $54,076 | — | 8.9x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $32,205 | $16,103 | — | 8.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $38,426 | $19,213 | — | 8.8x |
Showing 50 of 79 procedures
How UPMC PASSAVANT compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use