UPMC · Pittsburgh, PA
231
Disclosed rate categories
433
Beds
4
Care quality
Upmc Shadyside is a 433-bed voluntary non-profit - private hospital in Pittsburgh, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 231 disclosed rate categories.
CCN (Medicare provider number)
390164
NPI
1649306754
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
433
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc Shadyside most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$1,857 - $5,331
from 4 insurers · median $3,888
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$82,164
negotiated rate
82 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$58,738
negotiated rate
113 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 70450
$688 - $1,762
from 4 insurers · median $1,226
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$1,606 - $3,720
from 4 insurers · median $2,591
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$933 - $3,109
from 4 insurers · median $2,234
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$2,868 - $5,278
from 4 insurers · median $3,361
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,075 - $1,495
from 4 insurers · median $1,328
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$6,246 - $11,337
from 4 insurers · median $7,154
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,390 - $8,731
from 2 insurers · median $7,061
137 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$2,301 - $2,470
from 4 insurers · median $2,378
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,235 - $2,331
from 4 insurers · median $2,204
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$7,200 - $7,423
from 2 insurers · median $7,311
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,144 - $2,577
from 4 insurers · median $2,316
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$35 - $369
from 4 insurers · median $269
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$3,164 - $5,278
from 4 insurers · median $3,229
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,634 - $3,265
from 4 insurers · median $2,852
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$1,569 - $3,729
from 4 insurers · median $2,503
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$5,299 - $6,122
from 2 insurers · median $5,711
137 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 72148
$1,589 - $3,344
from 4 insurers · median $2,058
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$320 - $1,245
from 4 insurers · median $767
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$4,548 - $5,650
from 4 insurers · median $5,184
73 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Ultrasound
CPT 76642
$163 - $712
from 4 insurers · median $573
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$331 - $758
from 4 insurers · median $588
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 19 | 801% | 13 | 4 |
| Insurer B* | 19 | 719% | 14 | 5 |
| Insurer C* | 22 | 431% | 22 | 0 |
| Insurer D* | 24 | 305% | 15 | 9 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 1 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Shadyside.
3459 5th Ave, Pittsburgh, PA 15232
None
The nearest hospitals of similar type and size. Their rates are compared with Upmc Shadyside for the same insurers and services above.
Aultman Hospital
▼ Rates typically 57% lower than Upmc Shadyside (24 services)
Uh Cleveland Medical Center
▼ Rates typically 53% lower than Upmc Shadyside (23 services)
Cleveland Clinic Hospital
▼ Rates typically 55% lower than Upmc Shadyside (24 services)
Ohio State University Wexner Medical Center
▼ Rates typically 44% lower than Upmc Shadyside (24 services)
Inova Fairfax Hospital
▼ Rates typically 38% lower than Upmc Shadyside (23 services)
Medstar Washington Hospital Center
▼ Rates typically 23% lower than Upmc Shadyside (22 services)
Upmc Magee-Womens Hospital
Upmc Mercy
Upmc St Margaret
St. Clair Hospital
About Upmc Shadyside's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Shadyside range from $2,868 to $5,278 across 4 insurers. Aetna's rate is $2,868. The median at nearby comparable hospitals is $1,265. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Shadyside range from $1,857 to $5,331 across 4 insurers. Aetna's rate is $2,995. The median at nearby comparable hospitals is $1,265. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc Shadyside range from $1,235 to $2,331 across 4 insurers. Blue Cross Blue Shield's rate is $1,235. The median at nearby comparable hospitals is $2,704. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upmc Shadyside range from $82,164 to $82,164 across 1 insurers. Blue Cross Blue Shield's rate is $82,164. The median at nearby comparable hospitals is $33,684. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Shadyside has 433 beds. Facility type: Short Term Acute Care Hospital.
Upmc Shadyside is located at 3459 5th Ave, Pittsburgh, PA 15232. Its main phone number is None.
Upmc Shadyside's CMS Certification Number (CCN), also called its Medicare provider number, is 390164.
The National Provider Identifier (NPI) on file for Upmc Shadyside is 1649306754.
Upmc Shadyside is affiliated with UPMC.
231 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers