Hospitals / MD

UPMC Western Maryland Pricing Analysis

Source: Hospital MRF file & CMS Medicare PFS 2026

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Fairness Grade

Below Average Cost

Price Multiplier

11x

the federal fair-price benchmark

Procedures Priced

1,677

32 comparable to federal rates

What does this mean for your bill? This hospital charges about 11x the government benchmark — typical for US hospitals. For example, a procedure the government prices at $100 would cost about $1,100 at this hospital's list price. If you're uninsured or out-of-network, you may be able to negotiate down significantly.

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.

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Biggest Overcharges at This Hospital

These are the procedures where UPMC Western Marylandcharges 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
EXTERNAL VERSIONS	59412	$3,198	$94	+$3,104
NON-STRESS TEST	59025	$1,599	$50	+$1,549
CERVICAL CERCLAGE	59320	$3,198	$137	+$3,061
EMERGENCY HEMODIALYSIS	90935	$1,200	$61	+$1,139
IV INFUS-PROPH/DX 1 HR	96365	$870	$67	+$802
US EXTREMITY NON-VASCULAR W/IM	76881	$618	$54	+$564
NEONAT VENTILATOR SUBS DAY	94003	$661	$59	+$602
DX BONE MARROW BX & ASPIR	38222	$1,643	$177	+$1,465
SIMPLE TREATMENT	77402	$646	$82	+$563
XR SMALL BOWEL DOUBLE CONTRAST	74251	$2,670	$344	+$2,326

About UPMC Western Maryland Pricing

UPMC Western Maryland in , MD charges about 11x the government benchmark — typical for US hospitals across 32procedures 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.

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