How many shoppable procedure prices are published for UPMC McKeesport Hospital?

UPMC McKeesport Hospital in Mc Keesport, PA currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do UPMC McKeesport Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, UPMC McKeesport Hospital's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

What is UPMC McKeesport Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns UPMC McKeesport Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 145 Beds · urban Updated: 3/6/2026

UPMC McKeesport Hospital

1500 Fifth Avenue, Mc Keesport, PA 15132 · 101 Priced Procedures · 59% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.56×vs. Fair Market Price

Typical commercial prices here are +56% above the fair benchmark (1.56×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 26% of the Time

File Completeness66

Price Logic93

Peer Alignment65

Clean Billing85

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.56× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

UPMC McKeesport Hospital prices shoppable and inpatient services (1.2× to 1.2× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.56× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#120 of 134 in PA · 88th State Percentile#2,728 of 3,385 in U.S. · 80th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.92× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 26% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (57/100 safety score) with 59% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (38.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.56× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.99× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.17×) jump +18% above the median procedure ratio (Q50 0.99×)
Unnegotiated chargemaster list prices average 16.0× Medicare (15¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+18% Upper Tail

Q25 0.92× · Q50 0.99× · Q75 1.17×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.9× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

26% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 57/100Elevated

Procedure Prices at UPMC McKeesport Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$31,437	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,541	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,235	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,680	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,403	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,706	$6,109	0.9×
Inguinal hernia repair CPT Code: `49505`	—	$3,018	$3,629	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,892	$3,372	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,316	$2,540	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$3,034	$1,167	$1,256	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$3,034	$928	$987	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,500	$902	$981	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$2,596	$720	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,891	$557	$583	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$6,049	$529	$511	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$3,835	$509	$343	unverified
MRI, knee or other leg joint CPT Code: `73721`	$3,835	$507	$369	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,479	$401	$448	0.9×
Blood transfusion CPT Code: `36430`	$803	$414	$498	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$3,835	$400	$338	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$371	$371	$86	unverified
Rabies immune globulin HCPCS Code: `90375`	$770	$302	$322	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,154	$242	$258	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$985	$249	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,824	$258	$303	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,810	$211	$168	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$2,836	$204	$242	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,810	$178	$160	unverified
CT scan, sinuses CPT Code: `70486`	$1,810	$198	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,810	$203	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,810	$203	$169	unverified
CT scan, pelvis CPT Code: `72192`	$1,810	$171	$163	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$3,113	$145	$151	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$949	$127	$134	0.9×
X-ray, shoulder CPT Code: `73030`	$424	$91	$92	1.0×
X-ray, foot CPT Code: `73630`	$424	$91	$92	1.0×
X-ray, hand CPT Code: `73130`	$424	$91	$93	1.0×
X-ray, ankle CPT Code: `73610`	$424	$91	$93	1.0×
X-ray, lower back CPT Code: `72110`	$712	$108	$112	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$424	$87	$93	0.9×
X-ray, hip CPT Code: `73502`	$424	$86	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,598	$108	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$803	$111	$130	0.9×
X-ray, pelvis CPT Code: `72170`	$424	$93	$110	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$803	$111	$132	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$96	$131	$201	0.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$133	$133	$14	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$388	$97	$110	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$242	$93	$123	0.8×
Orthotic fitting and training CPT Code: `97760`	$162	$96	$51	unverified
Prosthetic fitting and training CPT Code: `97761`	$146	$97	$45	unverified
Typhoid vaccine HCPCS Code: `90675`	$700	$334	$347	1.0×
Drug screening test HCPCS Code: `G0480`	$442	$120	$116	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$91	$60	$38	1.6×
Blood test, vitamin D CPT Code: `82306`	$265	$45	$31	1.5×
Physical therapy (manual therapy) CPT Code: `97140`	$115	$39	$34	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$128	$35	$35	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$479	$59	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$253	$77	$86	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$184	$63	$87	0.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$96	$31	$20	1.6×
Physical therapy (gait training) CPT Code: `97116`	$189	$32	$33	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$145	$36	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$95	$32	$40	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$75	$54	$140	0.4×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$46	$6	$4	1.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$257	$26	$18	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$187	$27	$19	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$37	$44	$56	0.8×
Group therapy session CPT Code: `90853`	$47	$47	$100	0.5×
Blood test, potassium CPT Code: `84132`	$47	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$93	$7	$5	1.4×
Hepatitis C antibody test CPT Code: `86803`	$178	$21	$15	1.4×
Culture, blood CPT Code: `87040`	$225	$15	$11	1.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$78	$35	$27	1.3×
X-ray, chest (two views) CPT Code: `71046`	$424	$43	$93	0.5×
Blood test, calcium CPT Code: `82310`	$155	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$85	$7	$5	1.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$239	$8	$6	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$665	$13	$11	1.2×
Blood test, magnesium CPT Code: `83735`	$95	$8	$7	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$226	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$346	$10	$9	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$497	$15	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$103	$15	$14	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$95	$17	$16	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$102	$37	$38	1.0×
Blood test, amylase CPT Code: `82150`	$162	$7	$7	1.0×
X-ray, chest (single view) CPT Code: `71045`	$424	$29	$92	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$95	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$115	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$155	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$250	$7	$7	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$63	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$146	$5	$5	1.0×
Culture, bacterial CPT Code: `87070`	$115	$9	$9	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$12	$12	$48	0.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$12	$12	$49	0.2×
Colorectal cancer screening HCPCS Code: `G0010`	$12	$12	$49	0.2×
Blood antibody screen CPT Code: `86850`	$131	$11	$46	0.2×
Blood test, hemoglobin CPT Code: `85018`	$44	$4	$3	unverified

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 38.5%

Audit a Bill or Quote at UPMC McKeesport Hospital (Zero PHI Required)

CMS CCN: 390002

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,437

1. Amount on Your Bill or Quote ($) Pre-filled with UPMC McKeesport Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $29,040 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $29,040

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (38.5% of gross = $29,040).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask UPMC McKeesport Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$44,674 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($75,449) is $44,674 above the denoised Fair BaseRate ($30,775) and 3.2× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (38.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite57/100

Would Recommend59%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait209 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (336 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for UPMC McKeesport Hospital.

Price Index: 3.14× regional baseline

Quality: 44/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UPMC Health Plan

-48.5%

Humana

+118.6%

Median Household Income$76,393U.S. Census ACS

Local Uninsured Share3.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 82/100 · Corroborated CMS CCN 390002

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 390002) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/6/2026

Validated Rate Rows4,035 (CMS v3.0.0)

File Integrity DigestVerified · CCN 390002

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy