Pennsylvania / Magee Womens Hospital of UPMC Health System
CMS certification 390114 · Pittsburgh, PA
Magee Womens Hospital of UPMC Health System: charges and Medicare payments
Magee Womens Hospital of UPMC Health System reported 221 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 5.65 times what it was paid — among the higher ratios in Pennsylvania, number 37 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: 43 stays at an average charge of $141,507, 57% above the national average. It also billed 1,741 outpatient services, charging 9.19 times what Medicare paid.
- 1Medicare inpatient stays 221
- 2Charge ÷ paid, inpatient 5.65×
- 3Rank in PA (highest ratio = 1) 37 of 117
- 4CMS price-transparency actions 0
Inpatient stays
For the 10 DRGs that can be compared with the national average, Magee Womens Hospital of UPMC Health System charged more than the national average in 6 (60%). 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 | 43 | $141,507 | +57% | $19,804 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 40 | $101,556 | -18% | $22,266 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 38 | $68,131 | -27% | $16,105 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $53,170 | +32% | $8,261 |
| 291 Heart Failure and Shock with MCC | 17 | $91,833 | +63% | $11,186 |
| 467 Revision of Hip or Knee Replacement with CC | 17 | $129,628 | -18% | $30,044 |
| 737 Uterine and Adnexa Procedures for Ovarian or Adnexal... | 13 | $118,382 | +2% | $16,955 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $117,623 | -1% | $20,442 |
| 389 Gastrointestinal Obstruction with CC | 11 | $74,807 | +92% | $10,856 |
| 742 Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC | 11 | $102,794 | +2% | $15,338 |
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Magee Womens Hospital of UPMC Health System charged $141,507 on average, 60% more than the Pennsylvania average of $88,167, and was paid $19,804 against a state average of $16,881. For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Magee Womens Hospital of UPMC Health System charged $101,556 on average, 5% less than the Pennsylvania average of $106,620, and was paid $22,266 against a state average of $22,350. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Magee Womens Hospital of UPMC Health System charged $68,131 on average, 12% less than the Pennsylvania average of $77,050, and was paid $16,105 against a state average of $15,450. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Magee Womens Hospital of UPMC Health System charged $53,170 on average, 33% more than the Pennsylvania average of $40,091, and was paid $8,261 against a state average of $7,126. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,413 was 16% below the state average of $13,651. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $19,778 was 25% below the state average of $26,414. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $51,494 was 19% below the state average of $63,627. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,682 was 48% below the state average of $16,557.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.