Pennsylvania / Allegheny General Hospital

CMS certification 390050 · Pittsburgh, PA · 7 entries in CMS's price-transparency list

Allegheny General Hospital: charges and Medicare payments

Allegheny General Hospital reported 2,843 Medicare inpatient stays across 118 DRGs in 2024. Across them it charged 4.44 times what it was paid — mid-range in Pennsylvania, number 55 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 117 stays at an average charge of $105,288, 17% above the national average. It also billed 2,726 outpatient services, charging 8.09 times what Medicare paid.

1Medicare inpatient stays 2,843
2Charge ÷ paid, inpatient 4.44×
3Rank in PA (highest ratio = 1) 55 of 117
4CMS price-transparency actions 7

Average charge per stay at Allegheny General Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 118 DRGs that can be compared with the national average, Allegheny General Hospital charged more than the national average in 45 (38%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	117	$105,288	+17%	$21,137
291 Heart Failure and Shock with MCC	116	$58,501	+4%	$13,875
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	78	$116,741	+17%	$22,995
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	66	$51,575	-7%	$11,319
552 Medical Back Problems without MCC	62	$39,841	-18%	$10,220
286 Circulatory Disorders except AMI, with Cardiac...	57	$106,937	-5%	$25,219
023 Craniotomy with Major Device Implant or Acute Complex Cns...	52	$246,866	-12%	$57,463
481 Hip and Femur Procedures except Major Joint with CC	51	$91,710	-9%	$22,206
177 Respiratory Infections and Inflammations with MCC	50	$97,041	+37%	$18,927
236 Coronary Bypass without Cardiac Catheterization without MCC	47	$171,645	-19%	$39,412
853 Infectious and Parasitic Diseases with O.R. Procedures with...	46	$276,312	+21%	$58,307
189 Pulmonary Edema and Respiratory Failure	44	$64,063	+11%	$13,732
267 Endovascular Cardiac Valve Replacement and Supplement...	42	$163,499	-26%	$42,856
025 Craniotomy and Endovascular Intracranial Procedures with MCC	41	$222,063	-4%	$47,738
467 Revision of Hip or Knee Replacement with CC	41	$113,738	-28%	$30,188
266 Endovascular Cardiac Valve Replacement and Supplement...	40	$217,632	-24%	$59,618
270 Other Major Cardiovascular Procedures with MCC	38	$228,550	-12%	$50,001
164 Major Chest Procedures with CC	37	$102,361	-20%	$24,274
274 Percutaneous and Other Intracardiac Procedures without MCC	36	$135,718	-13%	$30,012
083 Traumatic Stupor and Coma >1 Hour with CC	35	$51,463	-30%	$13,871
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	35	$36,134	-10%	$8,802
378 Gastrointestinal Hemorrhage with CC	33	$48,294	-1%	$11,219
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	32	$280,099	-30%	$78,276
309 Cardiac Arrhythmia and Conduction Disorders with CC	32	$36,767	+2%	$8,048
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	31	$213,844	-23%	$50,799
330 Major Small and Large Bowel Procedures with CC	31	$109,246	-8%	$22,362
454 Combined Anterior and Posterior Spinal Fusion with CC	31	$156,348	-44%	$56,558
100 Seizures with MCC	29	$113,994	+21%	$19,960
314 Other Circulatory System Diagnoses with MCC	28	$91,583	-3%	$22,773
329 Major Small and Large Bowel Procedures with MCC	28	$234,869	+9%	$51,357
698 Other Kidney and Urinary Tract Diagnoses with MCC	28	$65,603	-11%	$17,056
699 Other Kidney and Urinary Tract Diagnoses with CC	28	$41,260	-13%	$10,497
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	27	$699,042	-34%	$180,535
086 Traumatic Stupor and Coma <1 Hour with CC	27	$45,113	-34%	$12,996
683 Renal Failure with CC	27	$40,434	-1%	$9,259
101 Seizures without MCC	26	$37,478	-23%	$9,784
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	26	$130,044	+9%	$24,489
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	26	$50,352	+3%	$11,795
193 Simple Pneumonia and Pleurisy with MCC	25	$67,339	+13%	$13,669
253 Other Vascular Procedures with CC	24	$111,148	-16%	$25,865
377 Gastrointestinal Hemorrhage with MCC	24	$92,916	+9%	$19,460
460 Spinal Fusion except Cervical without MCC	24	$122,351	-28%	$36,267
287 Circulatory Disorders except AMI, with Cardiac...	23	$48,659	-24%	$10,621
312 Syncope and Collapse	23	$38,091	-16%	$9,502
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	23	$49,205	+33%	$9,267
027 Craniotomy and Endovascular Intracranial Procedures without...	22	$141,011	+1%	$22,398
603 Cellulitis without MCC	22	$36,983	-1%	$9,523
652 Kidney Transplant	22	$414,027	+23%	$46,248
082 Traumatic Stupor and Coma >1 Hour with MCC	20	$98,960	-14%	$23,661
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	20	$58,646	-10%	$14,756
183 Major Chest Trauma with MCC	20	$75,157	+1%	$17,263
280 Acute Myocardial Infarction, Discharged Alive with MCC	20	$68,098	-10%	$15,353
208 Respiratory System Diagnosis with Ventilator Support <=96...	19	$134,641	-1%	$29,456
243 Permanent Cardiac Pacemaker Implant with CC	19	$120,340	+8%	$21,225
057 Degenerative Nervous System Disorders without MCC	18	$45,750	-19%	$13,167
271 Other Major Cardiovascular Procedures with CC	18	$196,053	+13%	$36,128
444 Disorders of The Biliary Tract with MCC	18	$110,174	+32%	$21,687
470 Major Hip and Knee Joint Replacement or Reattachment of...	18	$91,334	-2%	$17,676
956 Limb Reattachment, Hip and Femur Procedures for Multiple...	18	$139,341	-21%	$34,055
308 Cardiac Arrhythmia and Conduction Disorders with MCC	17	$143,503	+153%	$27,581

Showing the 60 most frequent of 118 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	413	$20,657	$2,415
Level 1 Endovascular Procedures	230	$18,743	$2,827
Level 3 Electrophysiologic Procedures	154	$154,018	$20,570
Level 4 Musculoskeletal Procedures	143	$34,178	$6,283
Level 2 Upper GI Procedures	142	$12,590	$1,659
Level 5 Musculoskeletal Procedures	128	$59,728	$11,345
Level 2 Excision/ Biopsy/ Incision and Drainage	116	$15,016	$1,405
Level 3 Vascular Procedures	100	$27,695	$2,847
Level 3 Urology and Related Services	83	$15,164	$1,758
Level 1 Intraocular Procedures	77	$16,689	$2,081
Level 4 Urology and Related Services	75	$17,041	$3,114
Level 5 Urology and Related Services	75	$25,652	$4,573
Level 1 Laparoscopy and Related Services	71	$35,279	$4,980
Level 3 Endovascular Procedures	65	$74,281	$9,577
Level 2 Intraocular Procedures	59	$13,501	$3,631
Level 5 ENT Procedures	53	$43,940	$5,231
Level 1 Nerve Procedures	50	$9,550	$1,725
Level 5 Airway Endoscopy	48	$71,746	$6,113
Level 4 Airway Endoscopy	43	$31,109	$3,345
Level 3 Excision/ Biopsy/ Incision and Drainage	39	$25,294	$2,486
Level 2 Endovascular Procedures	38	$38,275	$4,891
Level 2 ICD and Similar Procedures	38	$204,447	$29,298
Complex GI Procedures	38	$37,813	$5,090
Level 5 Neurostimulator and Related Procedures	36	$98,356	$26,932
Level 3 Upper GI Procedures	35	$27,603	$3,421

Against the Pennsylvania average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Allegheny General Hospital charged $105,288 on average, 19% more than the Pennsylvania average of $88,167, and was paid $21,137 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Allegheny General Hospital charged $58,501 on average, 2% more than the Pennsylvania average of $57,362, and was paid $13,875 against a state average of $11,112. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Allegheny General Hospital charged $116,741 on average, 10% more than the Pennsylvania average of $106,032, and was paid $22,995 against a state average of $18,089. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Allegheny General Hospital charged $51,575 on average, 9% less than the Pennsylvania average of $56,851, and was paid $11,319 against a state average of $9,162. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,657 was 5% below the state average of $21,732. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,743 was 34% below the state average of $28,496. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $154,018 was 15% below the state average of $181,283. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $34,178 was 28% below the state average of $47,486.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Allegheny General Hospital in Pittsburgh, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-06-23 (CMS case 399)
CAP Request — 2021-12-01 (CMS case 399)
Closure Notice — 2022-02-02 (CMS case 399)
Warning Notice — 2025-03-03 (CMS case 3193)
Closure Notice — 2025-04-03 (CMS case 3193)
Warning Notice — 2026-04-08 (CMS case 7390)
Closure Notice — 2026-05-13 (CMS case 7390)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.