UPMC Washington Pricing Analysis
Source: Hospital MRF file & CMS Medicare PFS 2026
D
Above Average Cost
62x
the federal fair-price benchmark
561
100 comparable to federal rates
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Biggest Overcharges at This Hospital
These are the procedures where UPMC Washingtoncharges 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 |
|---|---|---|---|---|
| NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOMY; | 31287 | $21,941 | $170 | +$21,770 |
| NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOMY; WITH REMOVAL OF TISSUE FROM THE SPHENOID SINUS | 31288 | $21,941 | $198 | +$21,743 |
| PELVIC EXAMINATION UNDER ANESTHESIA (OTHER THAN LOCAL) | 57410 | $10,022 | $97 | +$9,926 |
| NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY; WITH REMOVAL OF TISSUE FROM MAXILLARY SINUS | 31267 | $21,941 | $224 | +$21,717 |
| ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH PLACEMENT OF ENDOSCOPIC STENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED) | 43266 | $18,270 | $192 | +$18,078 |
| BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE | 20902 | $22,934 | $242 | +$22,692 |
| FRACTURE NASAL INFERIOR TURBINATE(S), THERAPEUTIC | 30930 | $10,321 | $109 | +$10,212 |
| ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), DIAGNOSTIC | 45990 | $9,001 | $100 | +$8,901 |
| PLACEMENT OF SETON | 46020 | $9,001 | $111 | +$8,890 |
| NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR) | 31255 | $21,941 | $273 | +$21,668 |
| NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY; | 31256 | $12,005 | $153 | +$11,852 |
About UPMC Washington Pricing
UPMC Washington in , PA charges 62x or more above the government benchmark — among the most expensive across 100procedures 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 Washington stacks up against other hospitals in the area.
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