Does UPMC East publish its standard charges and chargemaster?

Yes. UPMC East publishes a machine-readable file with 41,311 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 East charge for procedures?

UPMC East (Monroeville, 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 390328

UPMC East

Monroeville, PA, 15146

136 bedsAcute Care Hospitals4

Compliance grade

100/100

Rates published

41,311

last crawl 2026-05-24

Procedures tracked

163

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/274814831_upmc-east_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	7	—	—	$9,377.79	$11,532	0.90×	$25,070
emergency
ED visit level 1	CPT	99281	12	$434	$260.4	$51.6	$169.26	1.2×	$427.09
ED visit level 2	CPT	99282	13	$1,088	$652.8	$36.28	$369.92	1.6×	$870.4
ED visit level 3	CPT	99283	13	$1,467	$880.2	$62.31	$498.78	1.2×	$1,173.6
ED visit level 4	CPT	99284	13	$1,867	$1,120.2	$104.86	$634.78	0.95×	$1,493.6
ED visit level 5	CPT	99285	13	$2,285	$1,371	$152.61	$776.9	0.74×	$1,828
Critical care, first hour	CPT	99291	13	$2,503	$1,501.8	$166.79	$883.66	0.82×	$2,002.4
imaging
CT head without contrast	CPT	70450	13	$3,105	$1,863	$101.65	$1,055.7	5.1×	$2,484
CT head with contrast	CPT	70460	13	$4,862	$2,917.2	$147.4	$1,653.08	7.1×	$3,889.6
CT head with and without contrast	CPT	70470	13	$5,404	$3,242.4	$170.18	$1,837.36	6.9×	$4,323.2
CT neck with contrast	CPT	70491	13	$4,862	$2,917.2	$151.25	$1,653.08	6.0×	$3,889.6
MRI brain without contrast	CPT	70551	14	$6,568	$3,940.8	$231.07	$2,226.49	5.5×	$5,254.4
MRI brain with contrast	CPT	70552	14	$8,457	$5,074.2	$341.4	$2,833.1	5.9×	$6,765.6
MRI brain with and without contrast	CPT	70553	14	$10,364	$6,218.4	$341.4	$3,684.4	6.3×	$8,291.2
Chest X-ray single view	CPT	71045	13	$727	$436.2	$6.49	$239.91	2.5×	$581.6
Chest X-ray 2 views	CPT	71046	13	$727	$436.2	$11.9	$239.91	2.4×	$581.6
Chest X-ray 3 views	CPT	71047	13	$727	$436.2	$15.12	$239.91	2.5×	$581.6
CT chest without contrast	CPT	71250	13	$3,105	$1,863	$101.65	$1,089.86	5.1×	$2,484
CT chest with contrast	CPT	71260	13	$4,862	$2,917.2	$159.66	$1,653.08	5.9×	$3,889.6
CT chest with and without contrast	CPT	71270	13	$5,404	$3,242.4	$170.18	$1,837.36	6.3×	$4,323.2
MRI chest without contrast	CPT	71550	14	$6,568	$3,940.8	$231.07	$2,241.94	5.2×	$5,254.4
MRI chest with and without contrast	CPT	71552	14	$10,364	$6,218.4	$341.4	$3,580.76	6.0×	$8,291.2
Lumbosacral spine X-ray	CPT	72100	13	$727	$436.2	$33.98	$247.18	2.4×	$581.6
CT cervical spine without contrast	CPT	72125	13	$3,105	$1,863	$101.65	$1,089.86	5.4×	$2,484
CT thoracic spine without contrast	CPT	72128	13	$3,105	$1,863	$101.65	$1,089.86	5.5×	$2,484
CT lumbar spine without contrast	CPT	72131	13	$3,105	$1,863	$101.65	$1,089.86	5.4×	$2,484
MRI cervical spine without contrast	CPT	72141	14	$6,568	$3,940.8	$231.07	$2,241.94	5.6×	$5,254.4
MRI thoracic spine without contrast	CPT	72146	14	$6,568	$3,940.8	$231.07	$2,269.25	6.1×	$5,254.4
MRI lumbar spine without contrast	CPT	72148	14	$6,568	$3,940.8	$231.07	$2,269.25	6.0×	$5,254.4
MRI lumbar spine with and without contrast	CPT	72149	14	$8,457	$5,074.2	$341.4	$2,833.1	6.2×	$6,765.6
MRI cervical spine with and without contrast	CPT	72156	14	$10,364	$6,218.4	$341.4	$3,694.3	6.8×	$8,291.2
MRI lumbar spine with contrast	CPT	72158	14	$10,364	$6,218.4	$341.4	$3,684.4	6.7×	$8,291.2
CT pelvis without contrast	CPT	72192	13	$3,105	$1,863	$101.65	$1,089.86	5.5×	$2,484
CT pelvis with contrast	CPT	72193	13	$4,862	$2,917.2	$154.1	$1,653.08	5.9×	$3,889.6
Shoulder X-ray	CPT	73030	12	$727	$436.2	$28.33	$276.26	3.0×	$581.6
Humerus X-ray	CPT	73060	12	$727	$436.2	$27.76	$276.26	3.1×	$581.6
Hand X-ray 3 views	CPT	73130	12	$727	$436.2	$26.53	$276.26	3.0×	$581.6
MRI upper extremity joint without contrast	CPT	73221	13	$6,568	$3,940.8	$231.07	$2,495.84	6.0×	$5,254.4
MRI upper extremity joint with and without contrast	CPT	73223	13	$10,364	$6,218.4	$341.4	$3,938.32	6.4×	$8,291.2
Knee X-ray 1-2 views	CPT	73560	12	$727	$436.2	$29.9	$276.26	3.0×	$581.6
Ankle X-ray 3 views	CPT	73610	12	$727	$436.2	$26.02	$276.26	3.0×	$581.6
MRI lower extremity joint without contrast	CPT	73721	13	$6,568	$3,940.8	$231.07	$2,495.84	5.3×	$5,254.4
MRI lower extremity joint with and without contrast	CPT	73723	13	$10,364	$6,218.4	$341.4	$3,938.32	6.2×	$8,291.2
CT abdomen without contrast	CPT	74150	13	$3,105	$1,863	$101.65	$1,089.86	5.8×	$2,484
CT abdomen with contrast	CPT	74160	13	$4,862	$2,917.2	$163.96	$1,653.08	5.8×	$3,889.6
CT abdomen with and without contrast	CPT	74170	13	$5,404	$3,242.4	$170.18	$1,837.36	5.5×	$4,323.2
CT abdomen and pelvis without contrast	CPT	74176	13	$6,551	$3,930.6	$185.12	$2,299.4	6.3×	$5,240.8
CT abdomen and pelvis with contrast	CPT	74177	13	$9,388	$5,632.8	$289.48	$3,295.19	6.0×	$7,510.4
CT abdomen and pelvis with and without contrast	CPT	74178	13	$9,388	$5,632.8	$341.4	$3,295.19	5.7×	$7,510.4
MRI abdomen without contrast	CPT	74181	14	$6,568	$3,940.8	$231.07	$2,241.94	5.7×	$5,254.4
MRI abdomen with and without contrast	CPT	74183	14	$10,364	$6,218.4	$341.4	$3,580.76	6.3×	$8,291.2
Abdominal ultrasound complete	CPT	76700	13	$2,060	$1,236	$101.65	$700.4	4.7×	$1,648
Abdominal ultrasound limited	CPT	76705	13	$1,495	$897	$68.75	$508.3	3.5×	$1,196
Retroperitoneal ultrasound complete	CPT	76770	13	$2,001	$1,200.6	$89.65	$680.34	4.7×	$1,600.8
Obstetric ultrasound first trimester	CPT	76801	13	$2,175	$1,305	$92.5	$739.5	5.2×	$1,740
Transvaginal ultrasound	CPT	76830	13	$1,670	$1,002	$84.15	$567.8	3.8×	$1,336
Pelvic ultrasound complete	CPT	76856	13	$1,670	$1,002	$84.15	$567.8	4.0×	$1,336
Scrotal ultrasound	CPT	76870	13	$1,610	$966	$81.4	$547.4	4.2×	$1,288
Diagnostic mammography unilateral	CPT	77065	12	$561	$336.6	$58.27	$218.79	1.5×	$448.8
EKG tracing only	CPT	93005	13	$143	$85.8	$11.51	$57.2	0.49×	$117.38
Transthoracic echocardiogram complete	CPT	93306	13	$2,932	$1,759.2	$155.12	$1,067.59	1.8×	$2,402.77
Transthoracic echocardiogram	CPT	93307	13	$1,500	$900	$154.42	$570	2.3×	$1,303.07
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	8	—	—	$10,293	$16,603	0.82×	$65,547
Intracranial hemorrhage/CVA w CC	MS-DRG	065	8	—	—	$7,812.28	$8,593.51	0.80×	$41,177
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	8	—	—	$5,395.88	$5,935.47	0.78×	$32,167
Respiratory infections & inflammations w MCC	MS-DRG	177	8	—	—	$10,293	$12,980	0.84×	$50,514
COPD w MCC	MS-DRG	190	8	—	—	$8,534.45	$9,387.9	0.84×	$34,081
COPD w CC	MS-DRG	191	8	—	—	$6,571.82	$7,229	0.82×	$30,112
COPD w/o CC/MCC	MS-DRG	192	8	—	—	$5,081.51	$5,589.66	0.80×	$24,043
Simple pneumonia & pleurisy w CC	MS-DRG	194	8	—	—	$6,296.76	$6,926.44	0.82×	$28,525
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	8	—	—	$4,981.41	$5,479.55	0.82×	$21,429
AMI discharged alive w MCC	MS-DRG	280	8	—	—	$10,293	$13,314	0.85×	$51,168
AMI discharged alive w CC	MS-DRG	281	8	—	—	$7,136.07	$7,849.68	0.81×	$35,295
AMI discharged alive w/o CC/MCC	MS-DRG	282	8	—	—	$5,682.84	$6,251.12	0.80×	$31,840
Heart failure & shock w MCC	MS-DRG	291	8	—	—	$9,840.16	$10,726	0.84×	$39,543
Heart failure & shock w CC	MS-DRG	292	8	—	—	$6,616.33	$7,277.96	0.81×	$26,984
Heart failure & shock w/o CC/MCC	MS-DRG	293	8	—	—	$4,518.02	$4,969.82	0.80×	$24,137
Cardiac arrhythmia w MCC	MS-DRG	308	8	—	—	$9,248.46	$10,173	0.84×	$36,695
Cardiac arrhythmia w CC	MS-DRG	309	8	—	—	$5,776.25	$6,353.88	0.82×	$23,110
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	8	—	—	$4,518.76	$4,970.64	0.80×	$18,067
GI hemorrhage w CC	MS-DRG	378	8	—	—	$7,592.79	$8,352.07	0.83×	$35,948
GI hemorrhage w/o CC/MCC	MS-DRG	379	8	—	—	$4,995.52	$5,495.07	0.80×	$25,350
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	8	—	—	$6,101.74	$6,711.91	0.83×	$24,230
Fractures of femur w/o MCC	MS-DRG	533	7	—	—	$11,945	$13,140	0.86×	$71,336
Kidney/UTI w MCC	MS-DRG	689	7	—	—	$8,924.45	$9,816.9	0.85×	$42,578
Kidney/UTI w/o MCC	MS-DRG	690	7	—	—	$6,323.43	$6,955.77	0.84×	$23,296
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	7	—	—	$14,724	$16,196	0.87×	$65,454
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	7	—	—	$7,908.65	$8,699.51	0.84×	$33,427
lab
Basic metabolic panel (BMP)	CPT	80048	13	$292	$175.2	$8.36	$99.28	3.1×	$233.6
Electrolyte panel	CPT	80051	13	$231	$138.6	$6.92	$78.54	3.3×	$184.8
Comprehensive metabolic panel	CPT	80053	13	$360	$216	$10.43	$122.4	2.8×	$288
Lipid panel	CPT	80061	13	$354	$212.4	$13.24	$120.36	3.2×	$283.2
Renal function panel	CPT	80069	13	$298	$178.8	$8.58	$101.32	3.7×	$238.4
Hepatic function panel	CPT	80076	13	$280	$168	$8.08	$95.2	3.6×	$224
Urinalysis non-automated	CPT	81002	13	$89	$53.4	$3.44	$30.26	4.3×	$71.2
Urinalysis automated	CPT	81003	13	$78	$46.8	$2.22	$17.6	1.3×	$62.4
Glucose quantitative	CPT	82947	13	$98	$58.8	$3.89	$33.32	1.9×	$78.4
Hemoglobin A1c	CPT	83036	13	$264	$158.4	$7	$89.76	3.3×	$211.2
Thyroid stimulating hormone (TSH)	CPT	84443	13	$419	$251.4	$16.6	$142.46	3.0×	$335.2
Complete blood count with automated differential	CPT	85025	13	$193	$115.8	$6	$65.62	2.5×	$154.4
Complete blood count without differential	CPT	85027	13	$161	$96.6	$6.39	$54.74	2.5×	$128.8
Urine culture bacterial	CPT	87086	13	$197	$118.2	$7.98	$66.98	2.9×	$157.6
Tissue exam by pathologist level IV	CPT	88305	13	$426	$255.6	$27.54	$149.53	1.5×	$340.8
maternity
Vaginal delivery only	CPT	59409	12	$10,275	$6,165	$635.25	$4,007.25	1.8×	$8,863.05
office
Office visit, new patient, 15-29 min	CPT	99202	13	$426	$255.6	$36.08	$166.14	1.9×	$365.15
Office visit, new patient, 30-44 minutes	CPT	99203	13	$550	$330	$36.08	$214.5	1.8×	$470.51
Office visit, new patient, 45-59 min	CPT	99204	13	$709	$425.4	$36.08	$276.51	1.6×	$585.14
Office visit, new patient, 60-74 min	CPT	99205	13	$860	$516	$36.08	$335.4	1.5×	$695.27
Office visit, established patient, 10-19 min	CPT	99212	13	$231	$138.6	$28.6	$90.09	1.1×	$215.79
Office visit, established patient, 20-29 minutes	CPT	99213	13	$311	$186.6	$36.08	$121.29	1.1×	$278.02
Office visit, established patient, 30-39 minutes	CPT	99214	13	$360	$216	$36.08	$140.4	0.92×	$334.76
Office visit, established patient, 40-54 min	CPT	99215	13	$423	$253.8	$36.08	$164.97	0.88×	$389.03
preventive
Upper GI endoscopy diagnostic	CPT	43235	13	$3,802	$2,281.2	$137.74	$1,452.36	1.6×	$3,281.43
Upper GI endoscopy with biopsy	CPT	43239	13	$5,092	$3,055.2	$163.44	$1,945.14	2.0×	$4,393.81
Sigmoidoscopy diagnostic	CPT	45330	13	$997	$598.2	$58.47	$398.8	0.47×	$2,014.38
Sigmoidoscopy with biopsy	CPT	45331	13	$3,802	$2,281.2	$70.04	$1,452.36	1.6×	$3,281.43
Colonoscopy diagnostic	CPT	45378	13	$2,500	$1,500	$198.55	$975	1.1×	$4,393.81
Colonoscopy with biopsy	CPT	45380	13	$5,092	$3,055.2	$247.96	$1,945.14	1.6×	$4,393.81
Colonoscopy with polyp removal	CPT	45385	13	$5,092	$3,055.2	$294.89	$1,945.14	1.6×	$4,393.81
surgery
Total shoulder arthroplasty	CPT	23472	8	—	—	$2,642.84	$17,746	4.3×	$19,286
PCI w drug-eluting stent w MCC	MS-DRG	246	1	—	—	$10,293	$10,293	0.37×	$10,293
PCI w drug-eluting stent w/o MCC	MS-DRG	247	1	—	—	$10,293	$10,293	0.56×	$10,293
Total hip replacement	CPT	27130	8	—	—	$2,492.82	$12,880	3.0×	$19,880
Total knee replacement	CPT	27447	8	—	—	$2,690.84	$13,003	3.1×	$19,880
Knee revision arthroplasty single component	CPT	27486	2	—	—	$2,437.29	$7,054.31	4.2×	$14,535
Knee revision arthroplasty all components	CPT	27487	2	—	—	$3,120.49	$9,031.71	4.5×	$18,610
Shoulder arthroscopy with decompression	CPT	29826	3	—	—	$844.93	$2,490.83	7.6×	$5,038.97
Shoulder arthroscopy with rotator cuff repair	CPT	29827	8	—	—	$1,274.16	$7,151.22	2.2×	$7,598.8
Knee arthroscopy with meniscectomy	CPT	29881	10	—	—	$597.85	$3,131.83	1.5×	$6,206.98
ACL reconstruction	CPT	29888	8	—	—	$844.93	$6,957.8	2.1×	$7,491.76
Major small/large bowel procedures w MCC	MS-DRG	329	8	—	—	$10,293	$37,498	0.87×	$134,456
Major small/large bowel procedures w CC	MS-DRG	330	8	—	—	$10,293	$19,724	0.85×	$82,681
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	8	—	—	$10,293	$13,951	0.85×	$62,139
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	8	—	—	$10,293	$14,022	0.85×	$59,571
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	8	—	—	$10,293	$11,388	0.84×	$49,534
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	8	—	—	$10,293	$27,886	0.86×	$156,025
Laparoscopic appendectomy	CPT	44970	8	—	—	$1,067.82	$5,840.48	3.7×	$9,822.12
Spinal fusion (non-cervical) w MCC	MS-DRG	459	1	—	—	$10,293	$10,293	0.21×	$10,293
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	1	—	—	$10,293	$10,293	0.31×	$10,293
Major joint replacement w MCC	MS-DRG	469	8	—	—	$10,293	$24,864	0.84×	$103,690
Major joint replacement w/o MCC	MS-DRG	470	8	—	—	$10,293	$15,939	0.84×	$56,303
Laparoscopic cholecystectomy	CPT	47562	8	—	—	$1,414.39	$5,840.48	3.3×	$9,822.12
Lap cholecystectomy with cholangiography	CPT	47563	8	—	—	$1,521.52	$5,840.48	3.1×	$9,822.12
Hip & femur procedures except major joint w MCC	MS-DRG	480	8	—	—	$10,293	$23,887	0.85×	$119,003
Hip & femur procedures except major joint w CC	MS-DRG	481	8	—	—	$10,293	$17,278	0.85×	$83,475
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	8	—	—	$10,293	$13,532	0.85×	$60,458
Lap inguinal hernia repair	CPT	49650	8	—	—	$818.32	$5,840.48	5.2×	$6,206.98
Vaginal hysterectomy	CPT	58260	8	—	—	$1,446.27	$4,988.69	2.7×	$8,625.24
Lap-assisted vaginal hysterectomy	CPT	58550	8	—	—	$1,761.78	$6,007.35	4.1×	$14,191
Lap-assisted vaginal hysterectomy >250g	CPT	58552	8	—	—	$1,582.65	$10,422	4.7×	$10,918
Lap salpingo-oophorectomy	CPT	58661	8	—	—	$1,244.42	$5,840.48	2.9×	$7,421.42
OR procedure for obesity w MCC	MS-DRG	619	7	—	—	$21,730	$23,903	0.88×	$102,149
OR procedure for obesity w CC	MS-DRG	620	7	—	—	$12,187	$13,405	0.83×	$59,618
OR procedure for obesity w/o CC/MCC	MS-DRG	621	7	—	—	$11,505	$12,656	0.83×	$48,133
Complex cataract surgery	CPT	66982	8	—	—	$1,458.06	$2,348.35	1.1×	$8,695.52
Cataract surgery with lens implant	CPT	66984	10	—	—	$662.78	$2,337.37	1.1×	$8,695.52
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	7	—	—	$9,520.56	$10,473	0.85×	$40,757
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	7	—	—	$15,514	$17,066	0.89×	$47,573
PCI single major coronary artery	CPT	92920	11	$26,353	$15,812	$773.91	$10,278	1.8×	$21,082
PCI with drug-eluting stent	CPT	92928	11	$40,020	$24,012	$859.73	$15,688	1.6×	$32,016
PCI bypass graft	CPT	92937	11	$40,020	$24,012	$517.93	$15,688	1.4×	$32,016
Coronary angiography with cath	CPT	93455	12	$11,019	$6,611.4	$1,289.74	$4,297.41	1.4×	$9,023.83
Coronary angiography with bypass cath	CPT	93458	12	$11,292	$6,775.2	$1,321.51	$4,403.88	1.4×	$9,246.11

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 14)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	159	$1,292.83
upmc health plan	157	$372.9
Aetna	156	$850.43
Cigna	156	$914
pa health & wellness	156	$285.23
UnitedHealthcare	156	$531.3
amerihealth caritas	153	$248.89
upmc work partners	151	$1,000.12
geisinger	99	$192.63
intergroup	97	$1,196.25
private health care systems	97	$1,914
First Health	97	$1,674.75
health partners plans (jefferson health plan)	83	$176.06
premier comp solutions	17	$1,376.17

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