Question 1

Does UPMC Western Psychiatric Hospital publish its standard charges and chargemaster?

Accepted Answer

Yes. UPMC Western Psychiatric Hospital publishes a machine-readable file with 8,432 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of B. Browse the negotiated rates by procedure and payer on this page.

Question 2

How much does UPMC Western Psychiatric Hospital charge for procedures?

Accepted Answer

UPMC Western Psychiatric Hospital (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.

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	5	$1,655	$993	$25	$292.51	1.7×	$1,406.75
Psychiatric eval with medical services	CPT	90792	5	$2,127	$1,276.2	$165.43	$701.91	4.0×	$1,807.95
Psychotherapy 30 minutes	CPT	90832	5	$280	$168	$51	$155.7	1.0×	$238
Psychotherapy 45 minutes	CPT	90834	5	$479	$287.4	$88.5	$218.7	1.4×	$407.15
Psychotherapy 60 minutes	CPT	90837	5	$424	$254.4	$100	$240	1.3×	$360.4
Crisis psychotherapy 60 minutes	CPT	90839	5	$707	$424.2	$176.75	$388.85	2.4×	$600.95
imaging
EKG tracing only	CPT	93005	5	$727	$436.2	$16.44	$399.85	3.4×	$617.95
office
Office visit, new patient, 15-29 min	CPT	99202	5	$334	$200.4	$73.52	$178.2	2.1×	$283.9
Office visit, new patient, 30-44 minutes	CPT	99203	5	$432	$259.2	$94.97	$244.8	2.0×	$367.2
Office visit, new patient, 45-59 min	CPT	99204	5	$668	$400.8	$121.78	$300	1.7×	$567.8
Office visit, new patient, 60-74 min	CPT	99205	5	$843	$505.8	$147.82	$362.4	1.6×	$716.55
Office visit, established patient, 5 min	CPT	99211	5	$311	$186.6	$33.36	$102.6	1.6×	$264.35
Office visit, established patient, 10-19 min	CPT	99212	5	$472	$283.2	$39.83	$131.25	1.6×	$401.2
Office visit, established patient, 20-29 minutes	CPT	99213	5	$710	$426	$53.29	$184.5	1.6×	$603.5
Office visit, established patient, 30-39 minutes	CPT	99214	5	$947	$568.2	$62.45	$238	1.6×	$804.95
Office visit, established patient, 40-54 min	CPT	99215	5	$1,182	$709.2	$72.83	$296	1.6×	$1,004.7

Payer	Codes covered	Median rate
Aetna	16	$125.5
Blue Cross Blue Shield	16	$167
Cigna	16	$241.2
fidelis	16	$301.5
health payors organization	16	$341.7

UPMC Western Psychiatric Hospital

Procedures & rates

Payer mix (top 5)

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