UPMC Western Psychiatric Pricing Analysis
Source: Hospital MRF file & CMS Medicare PFS 2026
A
Best Value
2x
the federal fair-price benchmark
51
79 comparable to federal rates
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Biggest Overcharges at This Hospital
These are the procedures where UPMC Western Psychiatriccharges 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 |
|---|---|---|---|---|
| ECT SINGLE SEIZURE | 90870 | $1,546 | $182 | +$1,364 |
| PSYCH TESTING ADDITIONAL HOUR | 96131 | $706 | $87 | +$619 |
| TRANS CARE MGMT 7 DAY DISCH | 99496 | $2,309 | $299 | +$2,010 |
| TRANS CARE MGMT 14 DAY DISCH | 99495 | $1,634 | $220 | +$1,414 |
| PSYCH TEST MD/PHD 1ST HR | 96130 | $706 | $124 | +$582 |
| CABS ENHANCED EVAL | 90791 | $951 | $173 | +$778 |
| TM PSYCH DIAGNOSTIC INTERVIEW | 90792 | $776 | $202 | +$574 |
| FAMILY PSYCH W/ PAT | 90847 | $389 | $110 | +$280 |
| PSYCHOTHERAPY W/ E&M 45 MIN | 90836 | $362 | $103 | +$259 |
| CRISIS PSYCHOTHERAPY ADD 30MIN | 90840 | $268 | $77 | +$191 |
| FAMILY MEDICAL PSYCH W/O PAT | 90846 | $362 | $106 | +$256 |
| CLINIC VISIT NEW 99202 | 99202 | $252 | $75 | +$177 |
| CRISIS PSYCHOTHERAPY 1ST 60MIN | 90839 | $535 | $160 | +$374 |
| PSYCHOTHERAPY 45 MINUTES | 90834 | $362 | $114 | +$248 |
| INITIAL VISIT-EXTENDED O/P | 99204 | $505 | $177 | +$328 |
| INITIAL VISIT-INTERMED O/P | 99203 | $327 | $118 | +$210 |
About UPMC Western Psychiatric Pricing
UPMC Western Psychiatric in , PA charges prices relatively close to what insurance companies and the government pay across 79procedures 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 Western Psychiatric stacks up against other hospitals in the area.
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