Pennsylvania / UPMC Mckeesport
CMS certification 390002 · Mc Keesport, PA · 1 entry in CMS's price-transparency list
UPMC Mckeesport: charges and Medicare payments
UPMC Mckeesport reported 224 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 4.83 times what it was paid — mid-range in Pennsylvania, number 49 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 885, Psychoses: 37 stays at an average charge of $68,028, 54% above the national average. It also billed 79 outpatient services, charging 11.76 times what Medicare paid.
- 1Medicare inpatient stays 224
- 2Charge ÷ paid, inpatient 4.83×
- 3Rank in PA (highest ratio = 1) 49 of 117
- 4CMS price-transparency actions 1
Inpatient stays
For the 12 DRGs that can be compared with the national average, UPMC Mckeesport charged more than the national average in 7 (58%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 885 Psychoses | 37 | $68,028 | +54% | $15,519 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 33 | $52,639 | +42% | $8,983 |
| 291 Heart Failure and Shock with MCC | 25 | $58,382 | +4% | $10,603 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 18 | $75,471 | -16% | $15,711 |
| 193 Simple Pneumonia and Pleurisy with MCC | 17 | $60,533 | +1% | $11,449 |
| 603 Cellulitis without MCC | 17 | $42,225 | +13% | $8,508 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $48,793 | -31% | $13,860 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $36,527 | -3% | $7,778 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $38,109 | -34% | $11,273 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $57,496 | -24% | $14,469 |
| 683 Renal Failure with CC | 12 | $66,057 | +62% | $9,668 |
| 312 Syncope and Collapse | 11 | $46,580 | +2% | $8,395 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 46 | $23,409 | $2,360 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 18 | $10,699 | $1,448 |
| Level 3 Urology and Related Services | 15 | $15,864 | $1,819 |
Against the Pennsylvania average
For Psychoses (DRG 885), UPMC Mckeesport charged $68,028 on average, 7% more than the Pennsylvania average of $63,773, and was paid $15,519 against a state average of $13,207. For Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC (DRG 897), UPMC Mckeesport charged $52,639 on average, 23% more than the Pennsylvania average of $42,786, and was paid $8,983 against a state average of $8,195. For Heart Failure and Shock with MCC (DRG 291), UPMC Mckeesport charged $58,382 on average, 2% more than the Pennsylvania average of $57,362, and was paid $10,603 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), UPMC Mckeesport charged $75,471 on average, 14% less than the Pennsylvania average of $88,167, and was paid $15,711 against a state average of $16,881. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,409 was 8% above the state average of $21,732. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,699 was 22% below the state average of $13,651. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $15,864 was 4% below the state average of $16,557.
Price-transparency record
CMS's enforcement list records these actions for a hospital named UPMC Mckeesport in Mc Keesport, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-07-22 (CMS case 5921)
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.