▸ Hospital · PA · CCN 390028

UPMC Mercy

1400 LOCUST STREET, PITTSBURGH, PA, 15219

335 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
165
of 209 target codes
Payers
18
with negotiated rates
Rates published
51,255
last crawl 2026-05-24

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG8856$9,813.41$14,248$15,787
emergency
ED visit level 1CPT9928115$500$300$52.16$200$450
ED visit level 2CPT9928216$940$564$36.28$325.5$846
ED visit level 3CPT9928316$1,472$883.2$62.31$500.48$1,324.8
ED visit level 4CPT9928416$2,081$1,248.6$104.86$707.54$1,872.9
ED visit level 5CPT9928516$4,017$2,410.2$152.61$1,365.78$3,615.3
Critical care, first hourCPT9929116$5,794$3,476.4$166.79$1,969.96$5,214.6
imaging
CT head without contrastCPT7045016$3,250$1,950$84.51$1,105$2,925
CT head with contrastCPT7046016$5,090$3,054$141.48$1,730.6$4,581
CT head with and without contrastCPT7047016$5,658$3,394.8$141.48$1,923.72$5,092.2
CT neck with contrastCPT7049116$5,090$3,054$141.48$1,730.6$4,581
MRI brain without contrastCPT7055117$6,875$4,125$192.1$2,373.63$6,187.5
MRI brain with contrastCPT7055217$8,856$5,313.6$283.82$3,011.04$7,970.4
MRI brain with and without contrastCPT7055317$10,854$6,512.4$283.82$3,968.39$9,768.6
Chest X-ray single viewCPT7104516$761$456.6$6.43$258.74$684.9
Chest X-ray 2 viewsCPT7104616$761$456.6$11.78$258.74$684.9
Chest X-ray 3 viewsCPT7104716$761$456.6$14.98$258.74$684.9
CT chest without contrastCPT7125016$3,250$1,950$84.51$1,235$2,925
CT chest with contrastCPT7126016$5,090$3,054$141.48$1,730.6$4,581
CT chest with and without contrastCPT7127016$5,658$3,394.8$141.48$1,954.7$5,092.2
MRI chest without contrastCPT7155017$6,875$4,125$192.1$2,390.41$6,187.5
MRI chest with contrastCPT7155117$8,856$5,313.6$431.72$3,044.62$7,970.4
MRI chest with and without contrastCPT7155217$10,854$6,512.4$283.82$3,907.44$9,768.6
Lumbosacral spine X-rayCPT7210016$761$456.6$34.08$258.74$684.9
CT cervical spine without contrastCPT7212516$3,250$1,950$84.51$1,235$2,925
CT thoracic spine without contrastCPT7212816$3,250$1,950$84.51$1,235$2,925
CT lumbar spine without contrastCPT7213116$3,250$1,950$84.51$1,235$2,925
MRI cervical spine without contrastCPT7214117$6,875$4,125$192.1$2,390.41$6,187.5
MRI thoracic spine without contrastCPT7214617$6,875$4,125$192.1$2,475$6,187.5
MRI lumbar spine without contrastCPT7214817$6,875$4,125$192.1$2,475$6,187.5
MRI lumbar spine with and without contrastCPT7214917$8,856$5,313.6$283.82$3,011.04$7,970.4
MRI cervical spine with and without contrastCPT7215617$10,854$6,512.4$283.82$3,979.42$9,768.6
MRI lumbar spine with contrastCPT7215817$10,854$6,512.4$283.82$3,959.65$9,768.6
CT pelvis without contrastCPT7219216$3,250$1,950$84.51$1,235$2,925
CT pelvis with contrastCPT7219316$5,090$3,054$141.48$1,730.6$4,581
Shoulder X-rayCPT7303015$761$456.6$28.41$289.18$684.9
Humerus X-rayCPT7306015$761$456.6$27.84$289.18$684.9
Hand X-ray 3 viewsCPT7313015$761$456.6$26.6$289.18$684.9
MRI upper extremity joint without contrastCPT7322116$6,875$4,125$192.1$2,681.25$6,187.5
MRI upper extremity joint with and without contrastCPT7322316$10,854$6,512.4$283.82$4,292.47$9,768.6
Knee X-ray 1-2 viewsCPT7356015$761$456.6$29.99$289.18$684.9
Ankle X-ray 3 viewsCPT7361015$761$456.6$26.1$289.18$684.9
MRI lower extremity joint without contrastCPT7372116$6,875$4,125$192.1$2,681.25$6,187.5
MRI lower extremity joint with and without contrastCPT7372316$10,854$6,512.4$283.82$4,292.47$9,768.6
CT abdomen without contrastCPT7415016$3,250$1,950$84.51$1,235$2,925
CT abdomen with contrastCPT7416016$5,090$3,054$141.48$1,730.6$4,581
CT abdomen with and without contrastCPT7417016$5,658$3,394.8$141.48$1,923.72$5,092.2
CT abdomen and pelvis without contrastCPT7417616$6,862$4,117.2$185.12$2,607.56$6,175.8
CT abdomen and pelvis with contrastCPT7417716$9,829$5,897.4$283.82$3,341.86$8,846.1
CT abdomen and pelvis with and without contrastCPT7417816$9,829$5,897.4$283.82$3,735.02$8,846.1
MRI abdomen without contrastCPT7418117$6,875$4,125$192.1$2,390.41$6,187.5
MRI abdomen with and without contrastCPT7418317$10,854$6,512.4$283.82$3,907.44$9,768.6
Abdominal ultrasound completeCPT7670016$3,283$1,969.8$84.51$1,116.22$2,954.7
Abdominal ultrasound limitedCPT7670516$1,445$867$68.75$491.3$1,300.5
Retroperitoneal ultrasound completeCPT7677016$1,177$706.2$84.51$447.26$1,059.3
Obstetric ultrasound first trimesterCPT7680116$1,374$824.4$84.51$522.12$1,236.6
Obstetric ultrasound after first trimesterCPT7680516$1,763$1,057.8$84.51$644.33$1,586.7
Obstetric ultrasound with fetal anatomyCPT7681116$2,132$1,279.2$187.52$810.16$1,918.8
Transvaginal ultrasoundCPT7683016$2,347$1,408.2$84.15$797.98$2,112.3
Pelvic ultrasound completeCPT7685616$960$576$84.15$364.8$864
Scrotal ultrasoundCPT7687016$1,236$741.6$81.4$446.21$1,112.4
EKG tracing onlyCPT9300516$659$395.4$11.51$224.06$593.1
Transthoracic echocardiogram completeCPT9330616$4,180$2,508$155.12$1,463$3,762
Transthoracic echocardiogramCPT9330716$4,180$2,508$154.42$1,421.2$3,762
Stress echocardiogramCPT9335016$6,367$3,820.2$84.15$2,164.78$5,730.3
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG0647$10,293$20,375$39,420
Intracranial hemorrhage/CVA w CCMS-DRG0657$9,925.53$10,720$24,764
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG0667$7,014$7,575.12$19,345
Respiratory infections & inflammations w MCCMS-DRG1777$10,293$16,049$30,379
COPD w MCCMS-DRG1907$10,293$11,659$20,496
COPD w CCMS-DRG1917$8,430.9$9,128.66$18,110
COPD w/o CC/MCCMS-DRG1927$6,635.22$7,166.04$14,460
Simple pneumonia & pleurisy w CCMS-DRG1947$8,099.47$8,747.43$17,155
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG1957$6,514.6$7,035.77$12,887
AMI discharged alive w MCCMS-DRG2807$10,293$16,449$30,772
AMI discharged alive w CCMS-DRG2817$9,110.76$9,952.73$21,226
AMI discharged alive w/o CC/MCCMS-DRG2827$7,359.75$7,948.53$19,149
Heart failure & shock w MCCMS-DRG2917$10,293$13,358$23,781
Heart failure & shock w CCMS-DRG2927$8,484.51$9,193.63$16,229
Heart failure & shock w/o CC/MCCMS-DRG2937$5,956.25$6,432.75$14,516
Cardiac arrhythmia w MCCMS-DRG3087$10,293$12,588$22,069
Cardiac arrhythmia w CCMS-DRG3097$7,472.3$8,070.08$13,898
Cardiac arrhythmia w/o CC/MCCMS-DRG3107$5,957.13$6,433.7$10,866
GI hemorrhage w CCMS-DRG3787$9,661.09$10,434$21,619
GI hemorrhage w/o CC/MCCMS-DRG3797$6,531.59$7,054.12$15,246
Esophagitis/gastroenteritis w/o MCCMS-DRG3927$7,864.5$8,493.66$14,572
Fractures of femur w/o MCCMS-DRG5336$14,905$16,247$42,902
Kidney/UTI w MCCMS-DRG6896$11,266$12,279$25,606
Kidney/UTI w/o MCCMS-DRG6906$8,131.62$8,782.15$14,010
Septicemia or severe sepsis w MV 96+ hrsMS-DRG8716$18,254$19,896$39,364
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG8726$10,042$10,945$20,103
lab
Basic metabolic panel (BMP)CPT8004817$331$198.6$7.05$112.54$297.9
Electrolyte panelCPT8005117$265$159$5.84$90.1$238.5
Comprehensive metabolic panelCPT8005317$482$289.2$8.8$163.88$433.8
Lipid panelCPT8006117$402$241.2$11.16$136.68$361.8
Renal function panelCPT8006917$338$202.8$7.24$114.92$304.2
Hepatic function panelCPT8007617$317$190.2$6.81$107.78$285.3
Urinalysis non-automatedCPT8100217$56$33.6$2.9$20.44$50.4
Urinalysis automatedCPT8100317$58$34.8$1.88$20.01$52.2
Glucose quantitativeCPT8294717$56$33.6$3.28$20.44$50.4
Hemoglobin A1cCPT8303617$191$114.6$7.7$66.35$171.9
Thyroid stimulating hormone (TSH)CPT8444317$237$142.2$14$86.51$213.3
Complete blood count with automated differentialCPT8502517$111$66.6$6.48$40.52$99.9
Complete blood count without differentialCPT8502717$127$76.2$5.39$43.18$114.3
Urine culture bacterialCPT8708617$134$80.4$6.73$48.05$120.6
Urine culture identificationCPT8708817$124$74.4$6.74$45.26$111.6
Tissue exam by pathologist level IVCPT8830517$693$415.8$27.62$235.62$623.7
maternity
Fetal non-stress testCPT5902516$611$366.6$19.25$244.4$737.86
office
Office visit, new patient, 15-29 minCPT9920216$249$149.4$36.08$109.56$238.45
Office visit, new patient, 30-44 minutesCPT9920316$376$225.6$36.08$157.92$338.4
Office visit, new patient, 45-59 minCPT9920416$500$300$36.08$216.87$450
Office visit, new patient, 60-74 minCPT9920516$629$377.4$36.08$257.69$566.1
Office visit, established patient, 5 minCPT9921116$167$100.2$22$66.8$150.3
Office visit, established patient, 10-19 minCPT9921216$195$117$28.6$78.43$175.5
Office visit, established patient, 20-29 minutesCPT9921316$235$141$36.08$97.8$211.5
Office visit, established patient, 30-39 minutesCPT9921416$280$168$36.08$122.77$252
Office visit, established patient, 40-54 minCPT9921516$336$201.6$36.08$144.19$302.4
preventive
Upper GI endoscopy diagnosticCPT4323516$4,964$2,978.4$137.74$1,737.4$4,467.6
Upper GI endoscopy with biopsyCPT4323916$4,964$2,978.4$163.44$1,886.32$4,520.78
Sigmoidoscopy diagnosticCPT4533016$997$598.2$58.47$598.2$2,072.59
Sigmoidoscopy with biopsyCPT4533116$2,584$1,550.4$70.04$1,033.6$3,376.25
Colonoscopy diagnosticCPT4537816$2,500$1,500$198.55$1,000$4,520.78
Colonoscopy with biopsyCPT4538016$5,583$3,349.8$247.96$2,121.54$5,024.7
Colonoscopy with polyp removalCPT4538516$5,583$3,349.8$294.89$2,121.54$5,024.7
surgery
Total shoulder arthroplastyCPT234726$2,617.92$14,615$19,286
PCI w drug-eluting stent w MCCMS-DRG2461$10,293$10,293$10,293
PCI w drug-eluting stent w/o MCCMS-DRG2471$10,293$10,293$10,293
Total knee replacementCPT274476$2,665.46$12,880$20,888
Shoulder arthroscopy with decompressionCPT298264$681$2,483.86$5,184.59
Shoulder arthroscopy with rotator cuff repairCPT298277$958$5,757.73$7,818.39
Knee arthroscopy with meniscectomyCPT298818$597.85$2,578.62$6,386.35
ACL reconstructionCPT298887$681$4,527.99$7,491.76
Major small/large bowel procedures w MCCMS-DRG3297$10,293$45,321$86,514
Major small/large bowel procedures w CCMS-DRG3307$10,293$24,101$49,724
Major small/large bowel procedures w/o CC/MCCMS-DRG3317$10,293$17,209$37,371
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG4187$10,293$17,293$35,826
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG4197$10,293$14,150$29,790
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG4207$10,293$33,845$100,393
Laparoscopic appendectomyCPT449706$1,189.47$5,708.09$10,106
Spinal fusion (non-cervical) w MCCMS-DRG4591$10,293$10,293$10,293
Spinal fusion (non-cervical) w/o MCCMS-DRG4601$10,293$10,293$10,293
Major joint replacement w MCCMS-DRG4697$10,293$30,238$66,718
Major joint replacement w/o MCCMS-DRG4707$10,293$19,583$33,861
Laparoscopic cholecystectomyCPT475626$1,578.34$5,708.09$10,106
Lap cholecystectomy with cholangiographyCPT475636$1,631.43$5,708.09$10,106
Hip & femur procedures except major joint w MCCMS-DRG4807$10,293$29,071$76,571
Hip & femur procedures except major joint w CCMS-DRG4817$10,293$21,181$50,202
Hip & femur procedures except major joint w/o CC/MCCMS-DRG4827$10,293$16,708$36,360
Lap inguinal hernia repairCPT496507$840$4,702.76$6,386.35
Lap salpingo-oophorectomyCPT586617$958$5,169.28$7,635.89
OR procedure for obesity w MCCMS-DRG6196$26,695$29,098$65,727
OR procedure for obesity w CCMS-DRG6206$15,196$16,564$35,854
OR procedure for obesity w/o CC/MCCMS-DRG6216$14,375$15,669$28,947
Complex cataract surgeryCPT669827$1,312$2,348.35$8,946.8
Cataract surgery with lens implantCPT669848$662.78$2,348.35$8,946.8
Intravitreal injectionCPT6702816$3,266$1,959.6$116.47$1,241.08$2,939.4
Vitrectomy mechanicalCPT670426$2,098$4,142.13$13,564
Uterine & adnexa procedures w CC/MCCMS-DRG7436$11,984$13,062$24,511
Uterine & adnexa procedures w/o CC/MCCMS-DRG7446$18,622$20,742$28,610
PCI single major coronary arteryCPT9292014$25,913$15,548$860.28$10,365$23,322
PCI with drug-eluting stentCPT9292814$39,361$23,617$956.01$15,744$35,425
PCI bypass graftCPT9293714$39,361$23,617$513.05$15,941$35,425
Left heart catheterizationCPT9345215$12,473$7,483.8$1,046.36$4,989.2$11,226
Coronary angiography with cathCPT9345515$16,269$9,761.4$1,277.57$6,507.6$14,642
Coronary angiography with bypass cathCPT9345815$18,319$10,991$1,309.04$7,327.6$16,487

Payer mix (top 18)

PayerCodes coveredMedian rate
Blue Cross Blue Shield161$1,110.19
upmc health plan161$372.14
pa health & wellness160$264.73
Aetna160$899.31
amerihealth caritas157$248.89
upmc work partners154$905.17
bravo147$1,718.75
private health care systems112$1,093.88
intergroup104$1,685.2
Multiplan104$2,925
national provider network104$2,665
Cigna104$1,300
american healthcare group104$2,600
health payors organization104$2,925
First Health104$1,430
UnitedHealthcare90$125.57
premier comp solutions18$1,344.83
geisinger16$8.13