Does UPMC St. Margaret publish its standard charges and chargemaster?

Yes. UPMC St. Margaret publishes a machine-readable file with 42,437 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does UPMC St. Margaret charge for procedures?

UPMC St. Margaret (Pittsburgh, PA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · PA · CCN 390102

UPMC St. Margaret

Pittsburgh, PA, 15215

170 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

42,437

last crawl 2026-05-24

Procedures tracked

153

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All PA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/232875070_upmc-st-margaret_standardcharges.csv? · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	4	—	—	$9,241.2	$12,379	0.97×	$24,757
emergency
ED visit level 1	CPT	99281	10	$398	$238.8	$51.6	$151.24	1.1×	$427.09
ED visit level 2	CPT	99282	12	$561	$336.6	$36.28	$177.43	0.75×	$646.64
ED visit level 3	CPT	99283	12	$848	$508.8	$62.31	$287.74	0.71×	$869.82
ED visit level 4	CPT	99284	12	$1,897	$1,138.2	$104.86	$534.96	0.80×	$1,612.45
ED visit level 5	CPT	99285	12	$5,198	$3,118.8	$152.61	$1,390.47	1.3×	$4,418.3
Critical care, first hour	CPT	99291	12	$4,295	$2,577	$166.79	$1,189.72	1.1×	$3,650.75
imaging
CT head without contrast	CPT	70450	12	$2,900	$1,740	$87.53	$812	3.9×	$2,465
CT head with contrast	CPT	70460	12	$4,538	$2,722.8	$146.54	$1,257.03	5.4×	$3,857.3
CT head with and without contrast	CPT	70470	12	$5,049	$3,029.4	$146.54	$1,413.72	5.3×	$4,291.65
CT neck with contrast	CPT	70491	12	$4,538	$2,722.8	$146.54	$1,270.64	4.6×	$3,857.3
MRI brain without contrast	CPT	70551	13	$6,138	$3,682.8	$198.97	$1,718.64	4.3×	$5,217.3
MRI brain with contrast	CPT	70552	13	$7,904	$4,742.4	$293.97	$2,213.12	4.6×	$6,718.4
MRI brain with and without contrast	CPT	70553	13	$9,684	$5,810.4	$293.97	$2,750.26	4.7×	$8,231.4
Chest X-ray single view	CPT	71045	12	$675	$405	$6.49	$180.57	1.9×	$573.75
Chest X-ray 2 views	CPT	71046	12	$675	$405	$11.9	$180.57	1.8×	$573.75
Chest X-ray 3 views	CPT	71047	12	$675	$405	$15.12	$180.57	1.9×	$573.75
CT chest without contrast	CPT	71250	12	$2,900	$1,740	$87.53	$832.3	3.9×	$2,465
CT chest with contrast	CPT	71260	12	$4,538	$2,722.8	$146.54	$1,270.64	4.5×	$3,857.3
CT chest with and without contrast	CPT	71270	12	$5,049	$3,029.4	$146.54	$1,413.72	4.8×	$4,291.65
MRI chest without contrast	CPT	71550	13	$6,138	$3,682.8	$198.97	$1,718.64	4.0×	$5,217.3
MRI chest with contrast	CPT	71551	13	$5,441	$3,264.6	$431.72	$1,577.89	1.9×	$4,624.85
MRI chest with and without contrast	CPT	71552	13	$9,684	$5,810.4	$293.97	$2,750.26	4.6×	$8,231.4
Lumbosacral spine X-ray	CPT	72100	12	$675	$405	$34.37	$186.98	1.8×	$573.75
CT cervical spine without contrast	CPT	72125	12	$2,900	$1,740	$87.53	$832.3	4.1×	$2,465
CT thoracic spine without contrast	CPT	72128	12	$2,900	$1,740	$87.53	$832.3	4.2×	$2,465
CT lumbar spine without contrast	CPT	72131	12	$2,900	$1,740	$87.53	$832.3	4.1×	$2,465
MRI cervical spine without contrast	CPT	72141	13	$6,138	$3,682.8	$198.97	$1,718.64	4.3×	$5,217.3
MRI thoracic spine without contrast	CPT	72146	13	$6,138	$3,682.8	$198.97	$1,743.19	4.7×	$5,217.3
MRI lumbar spine without contrast	CPT	72148	13	$6,138	$3,682.8	$198.97	$1,743.19	4.6×	$5,217.3
MRI lumbar spine with and without contrast	CPT	72149	13	$7,904	$4,742.4	$293.97	$2,213.12	4.9×	$6,718.4
MRI cervical spine with and without contrast	CPT	72156	13	$9,684	$5,810.4	$293.97	$2,750.26	5.1×	$8,231.4
MRI lumbar spine with contrast	CPT	72158	13	$9,684	$5,810.4	$293.97	$2,750.26	5.0×	$8,231.4
CT pelvis without contrast	CPT	72192	12	$2,900	$1,740	$87.53	$832.3	4.2×	$2,465
CT pelvis with contrast	CPT	72193	12	$4,538	$2,722.8	$146.54	$1,270.64	4.5×	$3,857.3
Shoulder X-ray	CPT	73030	10	$675	$405	$28.65	$193.73	2.1×	$573.75
Humerus X-ray	CPT	73060	10	$675	$405	$28.07	$193.73	2.2×	$573.75
Hand X-ray 3 views	CPT	73130	10	$675	$405	$26.83	$193.73	2.1×	$573.75
MRI upper extremity joint without contrast	CPT	73221	11	$6,138	$3,682.8	$198.97	$1,780.02	4.3×	$5,217.3
MRI upper extremity joint with and without contrast	CPT	73223	11	$9,684	$5,810.4	$293.97	$2,918.67	4.8×	$8,231.4
Knee X-ray 1-2 views	CPT	73560	10	$675	$405	$30.24	$193.61	2.1×	$573.75
Ankle X-ray 3 views	CPT	73610	10	$675	$405	$26.31	$193.73	2.1×	$573.75
MRI lower extremity joint without contrast	CPT	73721	11	$6,138	$3,682.8	$198.97	$1,780.02	3.8×	$5,217.3
MRI lower extremity joint with and without contrast	CPT	73723	11	$9,684	$5,810.4	$293.97	$2,918.67	4.6×	$8,231.4
CT abdomen without contrast	CPT	74150	12	$2,900	$1,740	$87.53	$832.3	4.4×	$2,465
CT abdomen with contrast	CPT	74160	12	$4,538	$2,722.8	$146.54	$1,270.64	4.4×	$3,857.3
CT abdomen with and without contrast	CPT	74170	12	$5,049	$3,029.4	$146.54	$1,413.72	4.2×	$4,291.65
CT abdomen and pelvis without contrast	CPT	74176	12	$6,126	$3,675.6	$185.12	$1,715.28	4.7×	$5,207.1
CT abdomen and pelvis with contrast	CPT	74177	12	$8,773	$5,263.8	$289.48	$2,430.12	4.4×	$7,457.05
CT abdomen and pelvis with and without contrast	CPT	74178	12	$8,773	$5,263.8	$293.97	$2,456.44	4.3×	$7,457.05
MRI abdomen without contrast	CPT	74181	13	$6,138	$3,682.8	$198.97	$1,718.64	4.4×	$5,217.3
MRI abdomen with and without contrast	CPT	74183	13	$9,684	$5,810.4	$293.97	$2,750.26	4.9×	$8,231.4
Abdominal ultrasound complete	CPT	76700	12	$3,856	$2,313.6	$87.53	$1,031.48	6.9×	$3,277.6
Abdominal ultrasound limited	CPT	76705	12	$1,784	$1,070.4	$68.75	$494.17	3.4×	$1,516.4
Retroperitoneal ultrasound complete	CPT	76770	12	$1,435	$861	$87.53	$401.8	2.8×	$1,219.75
Obstetric ultrasound first trimester	CPT	76801	12	$735	$441	$87.53	$213.15	1.5×	$853.43
Obstetric ultrasound after first trimester	CPT	76805	12	$2,948	$1,768.8	$85.25	$816.6	5.3×	$2,505.8
Obstetric ultrasound with fetal anatomy	CPT	76811	12	$2,715	$1,629	$189.08	$779.21	3.3×	$2,307.75
Transvaginal ultrasound	CPT	76830	12	$2,781	$1,668.6	$84.15	$743.92	5.0×	$2,363.85
Pelvic ultrasound complete	CPT	76856	12	$2,785	$1,671	$84.15	$744.99	5.2×	$2,367.25
Scrotal ultrasound	CPT	76870	12	$1,784	$1,070.4	$81.4	$494.17	3.8×	$1,516.4
Diagnostic mammography unilateral	CPT	77065	11	$703	$421.8	$58.27	$203.87	1.4×	$597.55
Diagnostic mammography bilateral	CPT	77066	11	$853	$511.8	$74.31	$267.71	1.4×	$725.05
Screening mammography bilateral	CPT	77067	11	$342	$205.2	$61.53	$136.9	0.87×	$366.95
EKG tracing only	CPT	93005	12	$334	$200.4	$11.51	$92.52	0.78×	$283.9
Transthoracic echocardiogram complete	CPT	93306	12	$3,225	$1,935	$155.12	$935.25	1.6×	$2,741.25
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	4	—	—	$16,493	$20,714	1.0×	$64,728
Intracranial hemorrhage/CVA w CC	MS-DRG	065	4	—	—	$8,423.35	$10,407	0.97×	$40,663
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	4	—	—	$5,795.44	$7,049.66	0.92×	$31,765
Respiratory infections & inflammations w MCC	MS-DRG	177	4	—	—	$12,878	$16,097	1.0×	$49,883
COPD w MCC	MS-DRG	190	4	—	—	$9,208.75	$11,410	1.0×	$33,655
COPD w CC	MS-DRG	191	4	—	—	$7,074.32	$8,683.32	0.98×	$29,736
COPD w/o CC/MCC	MS-DRG	192	4	—	—	$5,453.57	$6,612.92	0.94×	$23,743
Simple pneumonia & pleurisy w CC	MS-DRG	194	4	—	—	$6,775.18	$8,301.17	0.98×	$28,169
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	4	—	—	$5,344.7	$6,473.86	0.97×	$21,161
AMI discharged alive w MCC	MS-DRG	280	4	—	—	$13,211	$16,523	1.1×	$50,529
AMI discharged alive w CC	MS-DRG	281	4	—	—	$7,687.96	$9,467.19	0.98×	$34,854
AMI discharged alive w/o CC/MCC	MS-DRG	282	4	—	—	$6,107.53	$7,448.29	0.96×	$31,442
Heart failure & shock w MCC	MS-DRG	291	4	—	—	$10,629	$13,224	1.0×	$39,049
Heart failure & shock w CC	MS-DRG	292	4	—	—	$7,122.71	$8,745.12	0.98×	$26,647
Heart failure & shock w/o CC/MCC	MS-DRG	293	4	—	—	$4,840.73	$5,830.08	0.94×	$23,835
Cardiac arrhythmia w MCC	MS-DRG	308	4	—	—	$9,985.26	$12,402	1.0×	$36,237
Cardiac arrhythmia w CC	MS-DRG	309	4	—	—	$6,209.12	$7,578.08	0.98×	$22,821
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	4	—	—	$4,841.54	$5,831.11	0.94×	$17,842
GI hemorrhage w CC	MS-DRG	378	4	—	—	$8,184.68	$10,102	1.0×	$35,499
GI hemorrhage w/o CC/MCC	MS-DRG	379	4	—	—	$5,360.04	$6,493.44	0.95×	$25,034
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	4	—	—	$6,563.1	$8,030.27	1.00×	$23,927
Fractures of femur w/o MCC	MS-DRG	533	4	—	—	$12,918	$16,148	1.1×	$70,445
Kidney/UTI w MCC	MS-DRG	689	4	—	—	$9,632.89	$11,952	1.0×	$42,046
Kidney/UTI w/o MCC	MS-DRG	690	4	—	—	$6,804.22	$8,338.25	1.0×	$23,005
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	4	—	—	$15,940	$20,009	1.1×	$64,636
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	4	—	—	$8,528.19	$10,541	1.0×	$33,010
lab
Basic metabolic panel (BMP)	CPT	80048	12	$162	$97.2	$7.3	$46.5	1.4×	$137.7
Electrolyte panel	CPT	80051	12	$147	$88.2	$6.05	$42.04	1.8×	$124.95
Comprehensive metabolic panel	CPT	80053	12	$167	$100.2	$9.12	$48.43	1.1×	$141.95
Lipid panel	CPT	80061	12	$458	$274.8	$11.56	$126.75	3.3×	$389.3
Renal function panel	CPT	80069	12	$192	$115.2	$7.49	$54.35	2.0×	$163.2
Hepatic function panel	CPT	80076	12	$359	$215.4	$7.05	$99.45	3.7×	$305.15
Urinalysis non-automated	CPT	81002	12	$118	$70.8	$3	$32.51	4.7×	$100.3
Urinalysis automated	CPT	81003	12	$68	$40.8	$1.94	$19.04	1.4×	$57.8
Glucose quantitative	CPT	82947	12	$114	$68.4	$3.39	$31.58	1.8×	$96.9
Hemoglobin A1c	CPT	83036	12	$162	$97.2	$7.7	$46.5	1.7×	$137.7
Thyroid stimulating hormone (TSH)	CPT	84443	12	$340	$204	$14.51	$95.2	2.0×	$289
Complete blood count with automated differential	CPT	85025	12	$155	$93	$6.6	$43.64	1.6×	$131.75
Complete blood count without differential	CPT	85027	12	$94	$56.4	$5.59	$26.98	1.2×	$79.9
Urine culture bacterial	CPT	87086	12	$289	$173.4	$6.97	$77.31	3.3×	$245.65
Urine culture identification	CPT	87088	12	$117	$70.2	$6.98	$33.58	1.5×	$99.45
Tissue exam by pathologist level IV	CPT	88305	12	$1,262	$757.2	$27.86	$337.59	3.3×	$1,072.7
maternity
Vaginal delivery only	CPT	59409	10	$10,937	$6,562.2	$642.43	$4,156.06	1.9×	$9,296.45
office
Office visit, new patient, 15-29 min	CPT	99202	12	$237	$142.2	$36.08	$90.06	1.0×	$365.15
Office visit, new patient, 30-44 minutes	CPT	99203	12	$370	$222	$36.08	$140.6	1.1×	$470.51
Office visit, new patient, 45-59 min	CPT	99204	12	$648	$388.8	$36.08	$219.29	1.3×	$585.14
Office visit, new patient, 60-74 min	CPT	99205	12	$780	$468	$36.08	$260.91	1.2×	$695.27
Office visit, established patient, 5 min	CPT	99211	12	$204	$122.4	$22	$63.91	0.99×	$173.4
Office visit, established patient, 10-19 min	CPT	99212	12	$273	$163.8	$28.6	$80.57	1.0×	$232.05
Office visit, established patient, 20-29 minutes	CPT	99213	12	$306	$183.6	$36.08	$103.8	0.91×	$278.02
Office visit, established patient, 30-39 minutes	CPT	99214	12	$381	$228.6	$36.08	$125.62	0.82×	$334.76
Office visit, established patient, 40-54 min	CPT	99215	12	$452	$271.2	$36.08	$145.99	0.78×	$389.03
preventive
Upper GI endoscopy diagnostic	CPT	43235	12	$4,188	$2,512.8	$137.74	$1,214.52	1.3×	$3,559.8
Upper GI endoscopy with biopsy	CPT	43239	12	$6,930	$4,158	$163.44	$1,988.91	2.1×	$5,890.5
Sigmoidoscopy diagnostic	CPT	45330	12	$997	$598.2	$58.47	$398.8	0.47×	$2,014.38
Sigmoidoscopy with biopsy	CPT	45331	12	$3,108	$1,864.8	$70.04	$947.44	1.1×	$3,281.43
Colonoscopy diagnostic	CPT	45378	12	$2,500	$1,500	$198.55	$950	1.1×	$4,393.81
Colonoscopy with biopsy	CPT	45380	12	$8,113	$4,867.8	$247.96	$2,271.64	1.9×	$6,896.05
Colonoscopy with polyp removal	CPT	45385	12	$7,394	$4,436.4	$294.89	$2,116.15	1.8×	$6,284.9
surgery
Total shoulder arthroplasty	CPT	23472	5	—	—	$2,642.84	$10,244	2.5×	$19,286
Total hip replacement	CPT	27130	5	—	—	$2,492.82	$10,591	2.4×	$19,869
Total knee replacement	CPT	27447	5	—	—	$2,690.84	$10,591	2.5×	$19,869
Shoulder arthroscopy with decompression	CPT	29826	3	—	—	$844.93	$2,453.84	7.5×	$5,038.97
Shoulder arthroscopy with rotator cuff repair	CPT	29827	5	—	—	$1,274.16	$4,939.05	1.5×	$7,598.8
Knee arthroscopy with meniscectomy	CPT	29881	7	—	—	$597.85	$2,494.05	1.2×	$6,206.98
Major small/large bowel procedures w MCC	MS-DRG	329	4	—	—	$37,341	$47,346	1.1×	$132,776
Major small/large bowel procedures w CC	MS-DRG	330	4	—	—	$19,607	$24,692	1.1×	$81,648
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	4	—	—	$13,847	$17,335	1.1×	$61,363
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	4	—	—	$13,917	$17,424	1.1×	$58,827
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	4	—	—	$11,290	$14,068	1.0×	$48,915
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	4	—	—	$27,750	$35,095	1.1×	$154,076
Laparoscopic appendectomy	CPT	44970	5	—	—	$1,067.82	$4,911.06	3.1×	$9,822.12
Major joint replacement w MCC	MS-DRG	469	4	—	—	$24,735	$31,243	1.1×	$102,395
Major joint replacement w/o MCC	MS-DRG	470	4	—	—	$15,831	$19,869	1.1×	$55,600
Laparoscopic cholecystectomy	CPT	47562	5	—	—	$1,414.39	$4,911.06	2.8×	$9,822.12
Lap cholecystectomy with cholangiography	CPT	47563	5	—	—	$1,521.52	$4,911.06	2.6×	$9,822.12
Hip & femur procedures except major joint w MCC	MS-DRG	480	4	—	—	$23,760	$29,998	1.1×	$117,516
Hip & femur procedures except major joint w CC	MS-DRG	481	4	—	—	$17,166	$21,574	1.1×	$82,432
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	4	—	—	$13,428	$16,800	1.1×	$59,703
OR procedure for obesity w MCC	MS-DRG	619	4	—	—	$23,559	$29,742	1.1×	$100,873
OR procedure for obesity w CC	MS-DRG	620	4	—	—	$13,181	$16,484	1.0×	$58,873
OR procedure for obesity w/o CC/MCC	MS-DRG	621	4	—	—	$12,440	$15,537	1.0×	$47,532
Complex cataract surgery	CPT	66982	5	—	—	$1,339.89	$2,348.35	1.1×	$8,695.52
Cataract surgery with lens implant	CPT	66984	7	—	—	$662.78	$2,331.1	1.1×	$8,695.52
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	4	—	—	$10,281	$12,780	1.0×	$40,248
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	4	—	—	$16,800	$18,144	0.95×	$46,979
Coronary angiography with bypass cath	CPT	93458	10	$28,643	$17,186	$1,321.51	$8,220.54	2.6×	$24,347

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 13)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	153	$1,005.83
upmc health plan	153	$293.97
Aetna	152	$725
pa health & wellness	152	$248.89
upmc work partners	107	$440.12
Humana	99	$2,363.85
Cigna	99	$812
private health care systems	99	$2,224.8
selectcare	99	$2,224.8
First Health	99	$1,946.7
UnitedHealthcare	89	$123.75
amerihealth caritas	89	$175.62
premier comp solutions	18	$1,321.86

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