UPMC Childrens Pricing Analysis
Source: Hospital MRF file & CMS Medicare PFS 2026
D
Above Average Cost
74x
the federal fair-price benchmark
2,720
66 comparable to federal rates
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Biggest Overcharges at This Hospital
These are the procedures where UPMC Childrenscharges the most compared to the federal fair-price benchmark. “They Charge” is what appears on your bill. “Gov. Benchmark” is what the government determines the doctor's work is worth.
| Procedure | Code | They Charge | Gov. Benchmark | You Overpay |
|---|---|---|---|---|
| LOCAL ALLO HARVEST/PREP | 38205 | $16,690 | $69 | +$16,621 |
| AUTOLYMPHOCYTE THERAPY | 36511 | $12,820 | $91 | +$12,728 |
| PERC PA STNT NOR/ABNRM EA ADD | 33904 | $27,431 | $257 | +$27,174 |
| CLOSED TREATMENT OF HIP DISLOCATION, TRAUMATIC; WITHOUT ANESTHESIA | 27250 | $19,664 | $175 | +$19,489 |
| REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR WITH REPLACEMENT OF PACEMAKER PULSE GENERATOR; DUAL LEAD SYSTEM | 33228 | $31,005 | $315 | +$30,689 |
| MICROSCOPE PROCEDURE | 69990 | $14,936 | $198 | +$14,737 |
| INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; FEMORAL NERVE, CONTINUOUS INFUSION BY CATHETER (INCLUDING CATHETER PLACEMENT), INCLUDING IMAGING GUIDANCE, WHEN PERFORMED | 64448 | $5,427 | $68 | +$5,360 |
| INJ LYMPHANGIOGRAPHY | 38790 | $12,767 | $76 | +$12,691 |
| ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, INTERMEDIATE JOINT OR BURSA (EG, TEMPOROMANDIBULAR, ACROMIOCLAVICULAR, WRIST, ELBOW OR ANKLE, OLECRANON BURSA); WITHOUT ULTRASOUND GUIDANCE | 20605 | $4,343 | $57 | +$4,286 |
| PERC PA STNT ABNRML CONNCT UNI | 33902 | $44,390 | $650 | +$43,740 |
| INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; LUMBAR PLEXUS, POSTERIOR APPROACH, CONTINUOUS INFUSION BY CATHETER (INCLUDING CATHETER PLACEMENT) | 64449 | $4,528 | $60 | +$4,468 |
| TRLUML BALO ANGIOP ADDL VEIN | 37249 | $27,764 | $428 | +$27,337 |
About UPMC Childrens Pricing
UPMC Childrens in , PA charges 74x or more above the government benchmark — among the most expensive across 66procedures we could compare. This data comes directly from the hospital's own published price file — they're required by federal law to share it.
What this means for your bill
If you're uninsured, out-of-network, or have a high-deductible plan, these prices directly affect what you pay. If you have in-network insurance, your insurer has likely negotiated much lower rates — but you may still owe a percentage of the hospital's high list price for your coinsurance or deductible.
Can I negotiate?
Yes. Most hospitals will reduce bills when patients present evidence. Our bill checker compares your specific charges to fair-price benchmarks and generates a dispute letter you can send to the billing department.
Compare with other hospitals
See how UPMC Childrens stacks up against other hospitals in the area.
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