UPMC Northwest Pricing Analysis
Source: Hospital MRF file & CMS Medicare PFS 2026
C
Average Cost
32x
the federal fair-price benchmark
2,104
73 comparable to federal rates
Check a specific procedure price
Use our price checker to look up any of 7,700+ procedures and see what Medicare considers a fair price.
Biggest Overcharges at This Hospital
These are the procedures where UPMC Northwestcharges 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 |
|---|---|---|---|---|
| REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR WITH REPLACEMENT OF PACEMAKER PULSE GENERATOR; DUAL LEAD SYSTEM | 33228 | $26,239 | $315 | +$25,923 |
| PERITONEAL LAVAG INC IMG | 49084 | $6,580 | $96 | +$6,484 |
| ARTHROSCOPY, KNEE, SURGICAL, FOR REMOVAL OF LOOSE BODY, FOREIGN BODY, DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY) AT THE TIME OF OTHER SURGICAL KNEE ARTHROSCOPY IN A DIFFERENT COMPARTMENT OF THE SAME KNEE | G0289 | $4,533 | $73 | +$4,460 |
| US INTERSTITIAL RAD ELEM APP | 76965 | $4,610 | $97 | +$4,514 |
| INSERTION OR REPLACEMENT OF PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, REQUIRING POCKET CREATION AND CONNECTION BETWEEN ELECTRODE ARRAY AND PULSE GENERATOR OR RECEIVER | 64590 | $21,842 | $428 | +$21,414 |
| REPAIR CV ACC CATH WO/SC PR/PM | 36575 | $6,248 | $148 | +$6,101 |
| SMPL LAC RPR 20.1-30CM FACE | 12017 | $5,793 | $154 | +$5,638 |
| INSERTION OF SUBCUTANEOUS EXTENSION TO INTRAPERITONEAL CANNULA OR CATHETER WITH REMOTE CHEST EXIT SITE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) | 49435 | $4,467 | $106 | +$4,361 |
| PLACEMENT OF SETON | 46020 | $4,576 | $111 | +$4,465 |
| SPECIAL TREATMENT PROCEDURES | 77470 | $4,780 | $145 | +$4,635 |
| ASP INJ RENAL CYST NDL PERC | 50390 | $3,704 | $81 | +$3,623 |
| TRNSCTH THR ART INF THRM W IMG | 37211 | $10,787 | $338 | +$10,448 |
| BLEPHAROTOMY DRN.ABSC.EYELID | 67700 | $8,906 | $281 | +$8,626 |
| ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), DIAGNOSTIC | 45990 | $3,681 | $100 | +$3,582 |
| INJ GREATER OCCIPITAL NERVE | 64405 | $3,704 | $79 | +$3,625 |
| I & D OF SCROTAL ABSCESS | 54700 | $6,140 | $200 | +$5,940 |
| CHANGE OF CYSTOMY TUBE COMPLEX | 51710 | $4,282 | $141 | +$4,142 |
| TRTMT INCOMPL ABORT COMPL SURG | 59812 | $10,707 | $359 | +$10,347 |
| CHROMOTUBATION OF OVIDUCT, INCLUDING MATERIALS | 58350 | $4,966 | $143 | +$4,823 |
About UPMC Northwest Pricing
UPMC Northwest in , PA charges 32x or more above the government benchmark — among the most expensive across 73procedures 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 Northwest stacks up against other hospitals in the area.
View All Rankings