UPMC · Pittsburgh, PA
4 of 5
CMS star rating
1,368
Beds
42,722
Inpatient discharges a year
$2.4B
Net patient revenue a year
Upmc Shadyside is a 1368-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.
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, or start a free trial.
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, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$2.4B net patient revenue
Ownership and leadership
Owned by Upmc
The employer identification numbers (EINs) health plans and networks list for Upmc Shadyside in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 25-0965480UPMC Presbyterian Shadyside | 59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more | 1821007881 Upmc Presbyterian Shadyside1750390134 Upmc Presbyterian Shadyside1144384082 Upmc Presbyterian Shadysideand 34 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
3459 5th Ave, Pittsburgh, PA 15232
None
How Upmc Shadyside compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 2 of 8 measures
2 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 3 of 7 measures
3 better, 3 no different, 1 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 3 of 11 measures
3 better, 8 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
72%
Higher than 51% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.39
Higher than 96% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
234 min
Higher than 92% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
52%
Lower than 78% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | Better on 2 of 8 measures | |
| Safety | Better on 3 of 7 measures | |
| Readmissions | Better on 3 of 11 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 72% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.39 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 234 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 52% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Upmc Shadyside's inpatient payments for its readmissions, quality and cost results.
-0.33% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.09% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Upmc Shadyside, beside the US median and the average of PA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Upmc Shadyside | US median | PA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 387 cases | 4.6 | 4.1 | 4.167 | Worse than 72% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 8,785 cases | 2.6 | 3.9 | 3.794 | Better than 98% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 156 cases | 11 | 11.8 | 11.71 | Better than 75% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 136 cases | 1.6 | 2.3 | 2.214 | Better than 91% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 92 cases | 7 | 8.5 | 8.106 | Better than 87% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 423 cases | 7.6 | 11 | 10.73 | Better than 96% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 391 cases | 12 | 15.2 | 14.97 | Better than 91% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 718 cases | 8.7 | 11.6 | 11.35 | Better than 95% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 11,546 cases | 1.84 | 0.51 | 0.6295 | Worse Than the National Rate | Worse than 97% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 391 cases | 168 | 173 | 176 | No Different Than the National Rate | Better than 59% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 13,123 cases | 0.22 | 0.2 | 0.2141 | No Different Than the National Rate | Worse than 74% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 14,320 cases | 0.39 | 0.27 | 0.2726 | No Different Than the National Rate | Worse than 99% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 4,417 cases | 2.3 | 2.29 | 2.299 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 2,630 cases | 1.71 | 1.63 | 1.625 | No Different Than the National Rate | Worse than 79% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 2,469 cases | 10.58 | 8.88 | 8.98 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 4,999 cases | 3.15 | 3.4 | 3.517 | No Different Than the National Rate | Better than 72% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 2,617 cases | 5.69 | 5.105 | 5.237 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 1,552 cases | 1.84 | 1.72 | 1.721 | No Different Than the National Rate | Worse than 78% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 4,065 cases | 0.9 | 1.02 | 1.064 | No Different Than the National Rate | Better than 83% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Upmc Shadyside | US median | PA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 212 cases | -2.8 | 4.2 | 0.7085 | Better than 62% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 523 cases | -16.5 | 1.25 | -1.704 | Better than 74% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 425 cases | 27.7 | 3.85 | 2.029 | Worse than 80% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 2,561 cases | 11.2 | 12.9 | 12.89 | No Different Than the National Rate | Better than 98% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 213 cases | 8.1 | 10.7 | 10.83 | No Different Than the National Rate | Better than 99% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 213 cases | 4.6 | 5.3 | 5.099 | No Different Than the National Rate | Better than 89% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 1,016 cases | 1 | 1 | 0.9708 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 664 cases | 15.2 | 14.4 | 14.5 | Worse than 84% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 262 cases | 13.7 | 10.9 | 10.99 | Worse than 95% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 439 cases | 19.1 | 19.8 | 20.02 | Better than 81% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,405 cases | 23.1 | 21.3 | 21.59 | Worse than 91% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 383 cases | 4.6 | 5.8 | 5.894 | Better than 97% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,228 cases | 19.7 | 17.2 | 17.56 | Worse than 98% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Upmc Shadyside | US median | PA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.582 | 0.172 | 0.2286 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.966 | 1.504 | 1.749 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 73,626 | 1,370 | 5,750 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 79.43 | 0.9835 | 5.919 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 60 | 0 | 3.49 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.755 | 0.484 | 0.5392 | Better than the National Benchmark | Worse than 72% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.357 | 0.138 | 0.24 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.636 | 1.392 | 1.712 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 58,620 | 1,799 | 5,818 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 95.57 | 1.377 | 7.432 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 46 | 0 | 4.163 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.481 | 0.399 | 0.5375 | Better than the National Benchmark | Worse than 59% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.173 | 0.2345 | 0.3156 | Better than the National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.652 | 2.135 | 2.472 | Better than the National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 841 | 61 | 129 | Better than the National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 25.34 | 1.591 | 3.442 | Better than the National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 9 | 1 | 2.881 | Better than the National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.355 | 0.7155 | 0.8463 | Better than the National Benchmark | Better than 73% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2716 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.504 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 32 | 38 | 78.04 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.313 | 0.328 | 0.6702 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.6458 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.044 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.591 | 0.193 | 0.258 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.212 | 1.855 | 2.224 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 340,700 | 14,451 | 51,947 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 34.89 | 0.567 | 3.48 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 30 | 0 | 2.674 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.86 | 0.597 | 0.6718 | No Different than National Benchmark | Worse than 70% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.505 | 0.127 | 0.2296 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.701 | 0.747 | 1.136 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 340,700 | 13,646 | 49,249 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 240 | 5.683 | 25.29 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 143 | 2 | 11.17 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.597 | 0.279 | 0.4579 | Better than the National Benchmark | Worse than 82% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Upmc Shadyside | US median | PA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 612 cases | 65 | 73 | 72.23 | Worse than 82% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 612 cases | 10 | 8 | 9.055 | Worse than 62% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 612 cases | 25 | 18 | 18.71 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 612 cases | 85 | 87 | 86.71 | Worse than 63% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 612 cases | 3 | 4 | 3.474 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 612 cases | 80 | 80 | 81.32 | Better than 49% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 612 cases | 92 | 91 | 92.25 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 612 cases | 4 | 4 | 3.669 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 612 cases | 4 | 3 | 3.8 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 612 cases | 16 | 16 | 15.01 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 612 cases | 78 | 79 | 79.08 | Worse than 55% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 612 cases | 91 | 91 | 90.94 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 612 cases | 5 | 5 | 5.207 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 612 cases | 3 | 3 | 3.126 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 612 cases | 17 | 16 | 15.72 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 612 cases | 61 | 61 | 62.03 | Worse than 47% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 612 cases | 77 | 77 | 77.41 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 612 cases | 19 | 19 | 19.14 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 612 cases | 3 | 3 | 2.77 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 612 cases | 20 | 19 | 18.83 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 612 cases | 88 | 86 | 86.79 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 612 cases | 12 | 13 | 12.61 | Better than 58% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 612 cases | 4 | 3 | 3.585 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 612 cases | 88 | 87 | 87.39 | Better than 58% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 612 cases | 14 | 14 | 13.9 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 612 cases | 86 | 86 | 86.1 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 612 cases | 72 | 74 | 74.16 | Worse than 60% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 612 cases | 6 | 7 | 6.538 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 612 cases | 22 | 19 | 19.3 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 612 cases | 76 | 77 | 77.55 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 612 cases | 6 | 6 | 5.734 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 612 cases | 18 | 17 | 16.71 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 612 cases | 85 | 85 | 85.04 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 612 cases | 4 | 3 | 3.594 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 612 cases | 11 | 11 | 11.36 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 612 cases | 9 | 8 | 8.241 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 612 cases | 20 | 20 | 20.25 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 612 cases | 71 | 72 | 71.51 | Worse than 51% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 612 cases | 88 | 88 | 88.23 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 612 cases | 3 | 3 | 3.378 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 612 cases | 76 | 74 | 75.77 | Better than 59% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 612 cases | 8 | 9 | 8.783 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 612 cases | 16 | 16 | 15.45 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 612 cases | 76 | 75 | 77 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 612 cases | 5 | 5 | 4.944 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 612 cases | 19 | 20 | 18.06 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 612 cases | 77 | 77 | 79 | Better than 49% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 612 cases | 5 | 4 | 3.972 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 612 cases | 18 | 19 | 17.03 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 612 cases | 88 | 86 | 87.39 | Better than 62% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 612 cases | 3 | 3 | 2.455 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 612 cases | 9 | 11 | 10.15 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 612 cases | 47 | 59 | 53.82 | Worse than 86% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 612 cases | 16 | 9 | 12.52 | Worse than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 612 cases | 37 | 31 | 33.66 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 612 cases | 75 | 82 | 79.07 | Worse than 84% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 612 cases | 2 | 3 | 2.852 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 612 cases | 6 | 5 | 5.441 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 612 cases | 72 | 71 | 69.9 | Better than 51% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 612 cases | 88 | 87 | 87.24 | Better than 51% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 612 cases | 22 | 23 | 24.66 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 612 cases | 4 | 4 | 3.667 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 612 cases | 46 | 47 | 47.79 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 612 cases | 31 | 30 | 29.81 | Worse than 51% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 612 cases | 23 | 22 | 22.4 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 612 cases | 3 | 3 | 3.333 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 612 cases | 10 | 12 | 11.52 | Better than 70% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 612 cases | 90 | 88 | 88.48 | Better than 70% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Upmc Shadyside | US median | PA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 7.632 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.146 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 10,230 cases | 92 | 79 | 78.47 | Better than 77% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 607 cases | 236 | 154 | 194 | Worse than 91% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 554 cases | 234 | 148 | 189 | Worse than 92% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 25 cases | 289 | 247 | 342 | Worse than 64% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 29 cases | 224 | 293 | 351 | Better than 79% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 93,028 cases | 1 | 1 | 1.791 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 71.53 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 342 cases | 97 | 97 | 93.83 | Better than 46% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 · 97 cases | 55 | 53 | 44.88 | Better than 53% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 12,430 cases | 20 | 15 | 15.58 | Worse than 84% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 389 cases | 52 | 65 | 61.54 | Worse than 78% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 122 cases | 58 | 73 | 70.37 | Worse than 79% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 56 cases | 93 | 88 | 85.25 | Better than 65% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 389 cases | 76 | 82 | 78.41 | Worse than 70% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 216 cases | 85 | 94 | 92.76 | Worse than 86% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 700 cases | 98 | 98 | 97.94 | Better than 49% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 · 202 cases | 78 | 75 | 76.12 | Better than 60% of US hospitals | |
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 617 cases | 87 | 94 | 94.33 | Worse than 90% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 86.85 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 7,083 cases | 86 | 97 | 90.77 | Worse than 88% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Upmc Shadyside | US median | PA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 11.1 | 5 | 6.218 | Worse than 90% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 8.625 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Upmc Shadyside | US median | PA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.01 | 0.99 | 0.984 | Worse than 59% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Upmc Shadyside | US median | PA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 152 cases | 64.5 | 60.8 | 65.04 | Better than 61% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 152 cases | 38.2 | 35.5 | 40.15 | Better than 59% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 53,638 cases | 0.3 | 0.05 | 0.3405 | Better than 80% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 53,638 cases | 2.12 | 0.03 | 0.1855 | Better than 97% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 473 cases | 91 | 87 | 80.35 | Better than 60% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 · 153 cases | 76.5 | 78.1 | 81.02 | Worse than 56% of US hospitals | |
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 373 cases | 16.2 | 19.1 | 18.66 | No Different Than the National Rate | Better than 90% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 579 cases | 79 | 92 | 85.27 | Worse than 75% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 85 cases | 36 | 74 | 56.45 | Worse than 78% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 64 cases | 48 | 81 | 55.73 | Worse than 79% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 113 cases | 53 | 77 | 70.7 | Worse than 73% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 113 cases | 50 | 56 | 54.34 | Worse than 55% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 103 cases | 5 | 64 | 53.37 | Worse than 87% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 103 cases | 2 | 4 | 16.55 | Worse than 55% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 1,179 cases | 0 | 77 | 64.52 | The worst result, shared by 12% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Upmc Shadyside | US median | PA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 63.33 | 20 | 26.43 | Better than 96% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 15.83 | 5 | 6.607 | Better than 96% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 14.83 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 3.708 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 46 | 34 | 40.19 | Better than 69% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 11.5 | 8.75 | 10.05 | Better than 69% of US hospitals | |
| VBP safety domain scoreFY 2026 | 11.67 | 40 | 35.79 | Worse than 94% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 2.917 | 10 | 8.984 | Worse than 94% of US hospitals | |
| VBP total performance scoreFY 2026 | 30.25 | 29.5 | 29.26 | Better than 53% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 42 | 55 | 40 | 23.33 | 28.33 | 63.33 |
| VBP clinical outcomes weighted domain score | 10.5 | 13.75 | 10 | 5.833 | 7.083 | 15.83 |
| VBP efficiency and cost reduction domain score | 10 | Not Available | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 2.5 | Not Available | 0 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 40 | Not Available | Not Available | 30 | 25 | 46 |
| VBP person and community engagement weighted domain score | 10 | Not Available | Not Available | 7.5 | 6.25 | 11.5 |
| VBP safety domain score | 8 | Not Available | Not Available | 4 | 14 | 11.67 |
| VBP safety weighted domain score | 2 | Not Available | Not Available | 1 | 3.5 | 2.917 |
| VBP total performance score | 25 | Not Available | Not Available | 14.33 | 16.83 | 30.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Upmc Shadyside | US median | PA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 225 cases | 1.051 | 0.9995 | 1.011 | Worse than 79% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 · 136 cases | 1.207 | 1 | 1.023 | Worse than 97% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 107 cases | 1.017 | 0.9969 | 1.011 | Worse than 66% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 541 cases | 1.014 | 0.9983 | 1.003 | Worse than 61% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.8984 | 0.9916 | 1.005 | Better than 76% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 393 cases | 0.9168 | 0.9955 | 0.9995 | Better than 92% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.102 | 1.077 | 1.021 | 0.9868 | 1.028 | 1.051 |
| READM-30-CABG-HRRP | 1.134 | 1.189 | 1.066 | 0.9934 | 1.02 | 1.207 |
| READM-30-COPD-HRRP | 1.148 | 1.07 | 1.023 | 0.9835 | 1.023 | 1.017 |
| READM-30-HF-HRRP | 1.114 | 1.061 | 0.9717 | 0.9374 | 0.8922 | 1.014 |
| READM-30-HIP-KNEE-HRRP | 1.18 | 1.076 | 1.071 | 1.009 | 0.9283 | 0.8984 |
| READM-30-PN-HRRP | 1.05 | 0.9936 | 1.082 | 1.005 | 1.04 | 0.9168 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Upmc Shadyside | US median | PA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.669 | 0.489 | 0.6333 | Worse than 68% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.866 | 0.346 | 0.4853 | Worse than 93% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.034 | 0.559 | 0.6389 | Worse than 84% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.865 | 0.6405 | 0.6956 | Worse than 68% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.39 | 0.9628 | 0.9873 | Worse than 96% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.449 | 0.7945 | 0.8966 | Better than 73% of US hospitals | |
| Total HAC scoreFY 2026 | 0.8919 | -0.0453 | 0.09237 | Worse than 92% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | No | N/A | No | Yes | Yes |
| Total HAC score | 0.4196 | 0.2345 | 0 | 0.253 | 0.6021 | 0.8919 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2021)
Accreditation
Major
Medical school affiliation
Private (not for profit)
Ownership type
1,371
Medicare-certified beds
1,646
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Upmc Shadyside reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
42,722
Inpatient discharges
Medicare 17%, Medicaid 2%
308,301
Inpatient days
77% of available bed days used
8,832
Employees (full-time equivalent)
780
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 832044). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Upmc Shadyside reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 49,620 | 9,309 | 249,372 | 308,301 |
| Discharges | 7,338 | 868 | 34,516 | 42,722 |
| Average length of stay | 6.8 days | 10.7 days | 7.2 days | 7.2 days |
| Average daily census | 135.9 | 25.5 | 683.2 | 844.7 |
133,972
Medicare Advantage days
17,563 discharges
53,618
Medicaid managed care days
6,693 discharges
21,178
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 903 | 249,280 | 45,410 | 76% |
| Intensive care unit | 100 | 30,708 | 2,111 | 84% |
| Coronary care unit | 30 | 8,730 | 734 | 80% |
| Surgical intensive care unit | 18 | 5,489 | 263 | 84% |
| Other special care | 30 | 10,055 | 402 | 92% |
| Subprovider - ipf | 255 | 66,067 | 5,135 | 71% |
| Subprovider - irf | 20 | 6,355 | 1,260 | 87% |
Source: CMS cost report (HCRIS, Form 2552-10), report 832044, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Upmc Shadyside treats Medicare patients for most often, in 2024. 6,147 Medicare discharges in 197 published DRGs; 36% surgical; 74% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 306 | $233,517 | $16,970 | $19,148 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 177 | $128,276 | $10,368 | $10,519 | 1.28 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 104 | $394,623 | $35,474 | $32,359 | 4.42 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 103 | $177,336 | $14,576 | $14,542 | 1.70 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 85 | $82,618 | $5,884 | $6,775 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 76 | $243,067 | $17,594 | $19,931 | 2.37 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 75 | $199,632 | $15,186 | $16,370 | 2.00 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 74 | $257,287 | $21,461 | $21,097 | 2.09 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 70 | $74,167 | $7,583 | $6,082 | 1.02 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 70 | $681,523 | $45,781 | $55,885 | 5.00 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 68 | $126,828 | $14,834 | $10,400 | 1.88 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 67 | $115,974 | $6,948 | $9,510 | 0.94 |
| Medical back problems without MCCMS-DRG 552, medical | 67 | $91,435 | $6,886 | $7,498 | 0.97 |
| Renal failure with CCMS-DRG 683, medical | 66 | $83,690 | $6,746 | $6,863 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 65 | $164,519 | $13,136 | $13,491 | 1.65 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 64 | $157,287 | $9,009 | $12,898 | 1.23 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 60 | $842,515 | $62,945 | $69,086 | 7.71 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 59 | $90,135 | $6,079 | $7,391 | 0.81 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 56 | $137,575 | $11,110 | $11,281 | 1.32 |
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 56 | $119,676 | $10,739 | $9,813 | 1.21 |
See all 197 Medicare inpatient DRGs at Upmc Shadyside
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Upmc Shadyside billed Medicare for most in 2024: 4,201 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 2 Upper GI ProceduresAPC 5302 | 420 | 376 | $26,411 | $1,332 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 308 | 275 | $24,859 | $1,140 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 270 | 236 | $36,232 | $2,259 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 216 | 214 | $32,730 | $2,014 | $2,208 |
| Level 4 Airway EndoscopyAPC 5154 | 214 | 148 | $51,861 | $2,544 | $2,833 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 213 | 205 | $96,644 | $9,964 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 205 | 201 | $47,501 | $1,860 | $2,090 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 142 | 139 | $80,288 | $4,949 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 137 | 135 | $62,019 | $4,022 | $4,358 |
| Level 7 Radiation TherapyAPC 5627 | 131 | 125 | $58,551 | $5,499 | $6,121 |
See all 43 Medicare outpatient services at Upmc Shadyside
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Upmc Shadyside in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 22,723 in 2020 to 23,778 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 15206 | 872 | 4% | 5,594 | $164.7M | 61% | 62% |
| 15221 | 857 | 4% | 5,853 | $180.6M | 47% | 48% |
| 15217 | 809 | 3% | 4,883 | $158.2M | 66% | 72% |
| 15235 | 591 | 2% | 4,753 | $166.9M | 27% | 27% |
| 15213 | 442 | 2% | 2,914 | $80.9M | 73% | 70% |
| 15208 | 395 | 2% | 2,948 | $88.2M | 70% | 68% |
| 15120 | 391 | 2% | 2,849 | $89M | 33% | 36% |
| 15219 | 371 | 2% | 2,898 | $81.3M | 46% | 48% |
| 15147 | 364 | 2% | 2,530 | $100.2M | 27% | 23% |
| 15218 | 336 | 1% | 2,231 | $69.1M | 56% | 55% |
| 15201 | 329 | 1% | 2,357 | $70.6M | 52% | 49% |
| 15210 | 325 | 1% | 2,327 | $79M | 27% | 26% |
| 15601 | 324 | 1% | 2,646 | $108.9M | 7% | 10% |
| 15207 | 302 | 1% | 2,187 | $67.5M | 54% | 47% |
| 15068 | 289 | 1% | 1,988 | $83M | 11% | 11% |
| 15301 | 273 | 1% | 2,298 | $99.1M | 9% | 10% |
| 15642 | 268 | 1% | 1,725 | $78.5M | 10% | 12% |
| 15146 | 266 | 1% | 1,697 | $71.1M | 15% | 11% |
| 15224 | 251 | 1% | 1,716 | $48.1M | 51% | 53% |
| 15132 | 245 | 1% | 1,829 | $61.8M | 16% | 15% |
| 15227 | 219 | 1% | 1,505 | $54.7M | 17% | 13% |
| 16101 | 215 | 1% | 1,584 | $76.1M | 9% | 10% |
| 15136 | 214 | 1% | 1,710 | $50.2M | 16% | 14% |
| 15108 | 212 | 1% | 1,427 | $53.7M | 10% | 10% |
| 15236 | 210 | 1% | 1,469 | $52.1M | 13% | 14% |
Source: CMS Hospital Service Area file. Shares are of the 23,778 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Upmc Shadyside reported at its latest Medicare certification survey (2016). Counts are people, not full-time equivalents.
72
Operating rooms
17
Endoscopy rooms
9
Cardiac catheterization rooms
255
Psychiatric unit beds
20
Rehabilitation unit beds
31
Off-site locations
24
Off-site emergency departments
1,646
Registered nurses
34
Licensed practical nurses
868
Physicians
666
Resident physicians
67
Nurse practitioners
60
Physician assistants
106
Nurse anesthetists (CRNAs)
132
Pharmacists
149
Respiratory therapists
25
Physical therapists
17
Occupational therapists
140
Radiology technicians
10
Nuclear medicine technicians
60
Laboratory technicians
166
Medical technologists
29
Dietitians
127
Social workers
2,845
Other personnel
Source: CMS Provider of Services file.
2,633 clinicians who bill Medicare list Upmc Shadyside as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
David Helfrich
Rheumatology Physician
NPI 1770565095
See commercial rates for David HelfrichSteven Fein, M.D.
Hematology & Oncology Physician
NPI 1437146552
See commercial rates for Steven Fein, M.D.Silvia Martinez Laverde, M.D.
Student in an Organized Health Care Education/Training Program
NPI 1235545823
See commercial rates for Silvia Martinez Laverde, M.D.Michael Munin
Specialist
NPI 1821062597
See commercial rates for Michael MuninOrysia Kozicky, MD
Rheumatology Physician
NPI 1699121954
See commercial rates for Orysia Kozicky, MDSimin Bahrami, MD
Vascular & Interventional Radiology Physician
NPI 1881846582
See commercial rates for Simin Bahrami, MDGary Galang
Physical Medicine & Rehabilitation Physician
NPI 1912949090
See commercial rates for Gary GalangNavkiranjit Gill
Medical Oncology Physician
NPI 1225298193
See commercial rates for Navkiranjit GillOscar Mena Miranda, MD
Rheumatology Physician
NPI 1396221040
See commercial rates for Oscar Mena Miranda, MDWilliam Abraham
Specialist
NPI 1205805587
See commercial rates for William AbrahamMichael Pagnotto, MD
Orthopaedic Surgery Physician
NPI 1821291238
See commercial rates for Michael Pagnotto, MDAntonio Pena
Diagnostic Radiology Physician
NPI 1184824377
See commercial rates for Antonio PenaPeter Wahba, M.D.
Diagnostic Radiology Physician
NPI 1104032697
See commercial rates for Peter Wahba, M.D.Jose Ramirez-Deltoro, MD
Physical Medicine & Rehabilitation Physician
NPI 1295938728
See commercial rates for Jose Ramirez-Deltoro, MDMicah Jacobs, MD
Infectious Disease Physician
NPI 1386845022
See commercial rates for Micah Jacobs, MDEdward Mistler
Neurology Physician
NPI 1386640837
See commercial rates for Edward MistlerHouman Homayoun, MD
Neurology Physician
NPI 1609030824
See commercial rates for Houman Homayoun, MDEric Chen, M.D.
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1912392820
See commercial rates for Eric Chen, M.D.Brian Jewell, M.D.
Orthopaedic Surgery Physician
NPI 1306865225
See commercial rates for Brian Jewell, M.D.Andrew Eller, MD
Specialist
NPI 1518930833
See commercial rates for Andrew Eller, MDChristopher Chermansky, M.D.
Urology Physician
NPI 1942307038
See commercial rates for Christopher Chermansky, M.D.James Kreshon, DO
Physical Medicine & Rehabilitation Physician
NPI 1477583920
See commercial rates for James Kreshon, DOGlenn Bloiso, MD
Urology Physician
NPI 1447363825
See commercial rates for Glenn Bloiso, MDJeffrey Kann, MD
Orthopaedic Surgery Physician
NPI 1710906516
See commercial rates for Jeffrey Kann, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Upmc Shadyside reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $20B | 822.5% |
| Inpatient | $13.2B | 542.6% |
| Outpatient | $6.8B | 279.9% |
| Contractual allowances and discounts | -$17.6B | -722.5% |
| Net patient revenue | $2.4B | 100.0% |
| Operating expenses | -$3B | -124.3% |
| Operating income from patient care | -$590.1M | -24.3% |
| Other income | $430.3M | 17.7% |
| Contributions and donations | $2.5M | 0.1% |
| Investment income | $2.2M | 0.1% |
| Government appropriations | $17.1M | 0.7% |
| Other | $408.5M | 16.8% |
| Other expenses | -$31,852 | -0.0% |
| Net income | -$159.9M | -6.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $2.4B | 11.4% |
| Medicaid (including managed care) | $3.1B | 14.5% |
| Other payers and self-pay | $15.8B | 74.1% |
| Total charges | $21.4B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 832044, amended. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Upmc Shadyside's latest cost report.
-24.3%
Operating margin
Operating income from patient care / net patient revenue
-5.6%
Total margin
Net income / net patient revenue plus other income
-2.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
31% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$35.54
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-7.4%
Return on assets
Net income for a year / total assets
-7.9%
Return on equity
Net income for a year / fund balance
0.00
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
4.07
Current ratio
Current assets / current liabilities
2.99
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
56 days
Days in patient receivables
Net patient receivables / daily net patient revenue
15 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.33
Asset turnover
Total revenue for a year / total assets
25.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 832044, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Upmc Shadyside owned and owed at the end of its reporting period (Jun 2025), across all fund types: $2.2B in total assets and a $2B fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $207,009 | 0.0% |
| Patient receivables, net | $370.5M | 17.2% |
| Inventory | $13.4M | 0.6% |
| Total current assets | $504.9M | 23.4% |
| Property and equipment, net of depreciation | $1.5B | 70.9% |
| Investments and other assets | $121.5M | 5.6% |
| Total assets | $2.2B | 100.0% |
| Current liabilities | $124.2M | 5.8% |
| Long-term debt | $1.5M | 0.1% |
| Total liabilities | $127M | 5.9% |
| Fund balance (net assets) | $2B | 94.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 832044, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Upmc Shadyside provided without full payment, as reported on Worksheet S-10 of its cost report.
$24.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$43.3M
Bad debt
Patient bills written off as uncollectible, at charges
$10.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
-$165,990
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$828,218
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$28.8M
Total unreimbursed and uncompensated care
1.0% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$86,238
Grants for charity care
Private grants, donations and endowment income restricted to charity care
$20.6M
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 832044, amended. Hospitals report these figures themselves; they are not audited financial statements.
Upmc Shadyside's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $2B | $2.1B | $2.1B | $2.2B | $2.3B | $2.4B |
| Operating expenses | $2.5B | $2.3B | $2.5B | $2.8B | $3B | $3B |
| Operating margin | -23.8% | -8.3% | -19.6% | -23.0% | -28.6% | -24.3% |
| Net income | -$210.6M | $89.5M | -$163.7M | -$274.5M | -$353.5M | -$159.9M |
| Total assets | $1.2B | $1.4B | $1.4B | $1.4B | $1.7B | $2.2B |
| Discharges | 43,950 | 43,190 | 39,592 | 38,115 | 39,327 | 42,722 |
| Inpatient days | 295,755 | 319,362 | 312,975 | 307,126 | 301,649 | 308,301 |
| Medicare Advantage days | 101,884 | 113,635 | 117,902 | 123,788 | 127,412 | 133,972 |
| Beds | 1,438 | 1,455 | 1,450 | 1,424 | 1,395 | 1,368 |
| Employees (FTE) | 8,814 | 8,884 | 8,546 | 8,557 | 8,829 | 8,832 |
Source: CMS cost report (HCRIS, Form 2552-10), report 832044, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Upmc Shadyside reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $13.3M | $220.4M | $3.1B | 0.07 | |
| Medical supplies charged to patient | $2.2M | $139.4M | $727.9M | 0.19 | 838 |
| Laboratory | $28.9M | $117.8M | $4.1B | 0.03 | 6,536 |
| Impl. dev. charged to patients | $114.2M | $822.7M | 0.14 | ||
| Operating room | $32.9M | $110.1M | $1.9B | 0.06 | 61,880 |
| Emergency | $14.7M | $37.2M | $582.3M | 0.06 | 18,516 |
| Radiology-diagnostic | $9.2M | $31.2M | $569.1M | 0.05 | 47,863 |
| Whole blood & packed red blood cell | $27.8M | $314.5M | 0.09 | ||
| Observation beds (non-distinct part | $25.1M | $208M | 0.12 | ||
| Respiratory therapy | $12.8M | $21.7M | $489.5M | 0.04 | 2,812 |
| Heart catherization | $7.1M | $20.7M | $407M | 0.05 | 13,376 |
| Radiology-therapeutic | $3.2M | $20.3M | $282.4M | 0.07 | 13,607 |
| Radioisotope | $945,234 | $18.9M | $137M | 0.14 | |
| Asc (non-distinct part) | $8.3M | $18.1M | $128M | 0.14 | 7,845 |
| Wpic cactis program | $13M | $15.8M | $32.8M | 0.48 | |
| Tissue typing | $2.1M | $15.2M | $168.4M | 0.09 | |
| Wpic psy outreach | $7.8M | $14.7M | $13.1M | 1.13 | |
| Falk clinic | $10.1M | $14M | $52.7M | 0.27 | |
| Recovery room | $6.9M | $13.8M | $162.8M | 0.08 | 6,200 |
| Ct scan | $2M | $13.8M | $1.1B | 0.01 | 394 |
| Mri | $2.6M | $12M | $363.4M | 0.03 | 11,126 |
| Hillman cancer center | $1.3M | $11.5M | $199.4M | 0.06 | 13,474 |
| Physical therapy | $11.3M | $66.8M | 0.17 | 899 | |
| Clinic | $3.6M | $10.4M | $184.9M | 0.06 | 48 |
| Anesthesiology | $2.2M | $10.2M | $571.3M | 0.02 | 6,812 |
| Acute renal dialysis | $4.4M | $9.6M | $79.6M | 0.12 | 6,925 |
| Wpic aya | $4.8M | $9.1M | $22.3M | 0.41 | |
| Clinical gi lab | $2.8M | $8.8M | $109.6M | 0.08 | 13,095 |
| Electroencephalography | $1.3M | $8.6M | $110M | 0.08 | 2,667 |
| Wpic dec | $4.1M | $8.5M | $18.7M | 0.45 | |
| Wpic d & a | $3.9M | $7M | $20.3M | 0.35 | |
| Wpic aff disorders | $3.8M | $6.7M | $27.9M | 0.24 | |
| Wpic icm/rc | $4.4M | $6M | $17.7M | 0.34 | |
| Wpic ect | $1.2M | $5.8M | $13.7M | 0.43 | |
| Pulmonary function lab | $2.5M | $5.6M | $36.1M | 0.15 | |
| South hills surgery | $2.3M | $5.4M | $139.9M | 0.04 | |
| Benedum geriatrics | $1.3M | $5.4M | $16.4M | 0.33 | |
| Wpic prtl pgm child | $2.9M | $5.3M | $23.5M | 0.23 | |
| Outpatient diabetes | $1.6M | $4.7M | $16.7M | 0.28 | |
| Echo cardiology lab | $2.1M | $4.7M | $148.4M | 0.03 | 3,666 |
| Cardiology outpatient | $1.7M | $4.5M | $9.7M | 0.46 | 9,900 |
| Gastro intestinal svcs | $2.1M | $4.5M | $76.4M | 0.06 | |
| Allogeneic hsct acquisition | $842,535 | $4.2M | $10.6M | 0.40 | |
| Short stay unit | $1.8M | $4.2M | $14.5M | 0.29 | |
| Gamma knife | $607,791 | $4.1M | $47.6M | 0.09 | 10,695 |
| Hiv outpatient | $1.7M | $3.8M | $5.8M | 0.65 | |
| Monroe/murrysvile rad | $1.8M | $3.8M | $260.9M | 0.01 | |
| Occupational therapy | $3.6M | $60.4M | 0.06 | 287 | |
| Wpic schizophrenia | $1.8M | $3.5M | $7.7M | 0.45 | |
| Wpic o/p satellites | $1.7M | $3.1M | $10.7M | 0.29 | |
| Nuclear cardiology | $1.2M | $3M | $104.8M | 0.03 | |
| Pain center | $1.3M | $2.9M | $23.2M | 0.13 | |
| Wpic residentail treatment | $1.5M | $2.8M | $7.5M | 0.37 | |
| Ultra sound | $1.3M | $2.6M | $75.6M | 0.03 | |
| Wpic drugs chrg to pat | $2.6M | $63.7M | 0.04 | ||
| Cardio - pulmonary rehab | $1.4M | $2.5M | $4.8M | 0.52 | |
| Consolidated o/p test | $955,508 | $1.9M | $4.6M | 0.42 | |
| Electrocardiology | $737,066 | $1.8M | $51.5M | 0.04 | 1,650 |
| Wpic spec child therapy | $709,117 | $1.6M | $3.1M | 0.52 | |
| Monroeville sleep center | $884,581 | $1.6M | $21.3M | 0.08 | 293 |
| Wpic behavioral med | $795,599 | $1.5M | $5.5M | 0.28 | |
| Wpic hill satellites | $745,322 | $1.3M | $2.2M | 0.58 | |
| Radiology - lsc | $620,467 | $1.3M | $69.1M | 0.02 | |
| Wpic mental retardation | $684,276 | $968,165 | $1M | 0.96 | |
| Non-inv per vasc lab | $496,137 | $831,299 | $16.4M | 0.05 | |
| Kaufmann clinic | $378,657 | $798,324 | $3M | 0.27 | |
| I&r services-not apprvd prgm | $659,396 | ||||
| Wpic medicat clinic | $362,700 | $605,420 | $1.1M | 0.56 | |
| Bone marrow pc & t | $597,914 | $2.5M | 0.24 | ||
| Wpic prtl pgm adult | $346,306 | $543,211 | $2.8M | 0.19 | |
| Eye ear nose and throat | $221,008 | $486,237 | $7.2M | 0.07 | |
| Renal dialysis | $323,534 | $9.6M | 0.03 | 1,298 | |
| Puh meg | $92,933 | $286,429 | $3M | 0.10 | |
| Wpic-internal medicine | $530,164 | $254,312 | |||
| Radiology - west mifflin | $102,546 | $3.1M | 0.03 | ||
| Theiss health center | $31,381 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $131.2M | $320M | $1.6B | 0.20 | 129,812 |
| Intensive care unit | $31M | $64.4M | $472.8M | 0.14 | 30,659 |
| Subprovider - ipf | $25.8M | $59.8M | $246.1M | 0.24 | |
| Surgical intensive care unit | $7.8M | $19.5M | $129.2M | 0.15 | 26,936 |
| Coronary care unit | $8.6M | $17.9M | $130.8M | 0.14 | 6,055 |
| Trauma intensive care unit | $7.2M | $17.4M | $132.9M | 0.13 | 21,177 |
| Liver icu | $4M | $8.6M | $62.4M | 0.14 | |
| Subprovider - irf | $2.4M | $5.8M | $32.6M | 0.18 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Employee benefits department | $3.3M | $153.6M | 90,930 | $24.54 | 820 |
| Other administrative and general | $39.1M | $125.4M | 8,856 | ||
| Data processing | $102M | 4,553 | |||
| I&r services-salary & fringes apprv | $78.8M | ||||
| Maintenance & repairs | $11.2M | $57.1M | 273,402 | $41.39 | |
| Cap rel costs-bldg & fixt | $49.8M | 679,910 | |||
| Cap rel costs-mvble equip | $24.2M | ||||
| I&r services-other prgm costs apprv | $308,131 | $22.2M | 51,329 | ||
| Operation of plant - shy | $6.5M | $21.8M | |||
| Admitting | $1.4M | $19.2M | 4,223 | ||
| Dietary | $12.3M | $17.8M | 689,449 | $24.02 | 16,313 |
| Housekeeping | $12.2M | $15.2M | 866,531 | $21.24 | |
| Nursing administration | $13.2M | $15.2M | 293,482 | $49.46 | 408 |
| Pharmacy | $11.7M | $14.5M | 310,894 | $46.03 | 5,501 |
| Social service | $13.3M | $13.5M | 288,574 | $42.49 | 199 |
| Shy - housekeeping | $6.1M | $9.5M | |||
| Escort services | $6.1M | $7M | 292,382 | $20.80 | |
| I & r services other wpic | $5.3M | $6.6M | |||
| Operation of plant - wpic | $3.7M | $6.4M | |||
| I & r services salary wpic | $5.5M | ||||
| Medical records & library | $3.3M | $5M | 182,470 | $19.95 | 8,731 |
| Central services & supply | $1.6M | $4.7M | 66,444 | $24.02 | 1,276 |
| Nursing program | $6M | $4.7M | |||
| Dietary - muh | $2.5M | $4.4M | |||
| Cap rel costs - shy | $4.2M | ||||
| Laundry & linen service | $3.4M | ||||
| Wpic - housekeeping | $3.4M | ||||
| Dietary - wpic | $1.8M | $3.3M | |||
| Pharmacy - wpic | $2.4M | $3M | |||
| Paramed ed pharmacy | $1.9M | ||||
| Cap rel costs - hcc | $1.8M | ||||
| Cap rel costs - mvble equip wpic | $1.5M | ||||
| Purchasing receiving and stores | $1.4M | ||||
| Operation of plant - hcc | $370,230 | $1.2M | |||
| Trauma services | $1M | $1.2M | 3,023 | ||
| Operation of plant - muh | $1.1M | $1.2M | |||
| Operation of plant | $3.4M | $1.2M | 416,391 | $31.36 | 75,180 |
| Cap rel costs - wpic | $1.1M | ||||
| Cafeteria | $4.4M | $997,230 | 213,754 | $21.45 | 10,875 |
| Paramed ed anesthesia | $942,372 | ||||
| Cap rel costs - hcc pob2 | $884,306 | ||||
| Shy - hcc housekeeping | $789,617 | ||||
| Operation of plant - hcc pob2 | $157,283 | $573,034 | |||
| Lab information | $295,500 | $364,395 | |||
| Cafeteria - wpic | $315,153 | ||||
| Paramed ed medical physcs | $256,547 | ||||
| Cap rel costs - muh | $145,081 | ||||
| Cap rel costs - univ center | $86,878 | ||||
| Paramed ed pastoral care | $26,870 | ||||
| Paramed ed perfusion | $297,745 | $1,681 |
Source: CMS cost report (HCRIS, Form 2552-10), report 832044, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Upmc Shadyside for an inpatient stay.
2.63
Case mix index
Higher than 95% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.72 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
28.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
7,252
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 2.26 | 2.27 | 2.44 | 2.48 | 2.57 | 2.58 | 2.63 |
| Wage index | 0.843 | 0.834 | 0.838 | 0.921 | 0.937 | 0.922 | 0.910 |
| Readmissions adjustment | -0.69% | -0.86% | -0.53% | -0.21% | -0.02% | -0.10% | -0.33% |
| Value-based purchasing adjustment | -0.57% | -0.40% | -0.40% | -0.16% | -0.64% | -0.49% | +0.09% |
| Medicare inpatient stays | 12,226 | 12,226 | 9,714 | 7,869 | 7,501 | 7,062 | 7,252 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Upmc Shadyside reports to Medicare as owners or with operational control.
Upmc
5% or greater direct ownership interest, 100%, since 2008
Sources: CMS Hospital All Owners.
The officers and board members on Upmc Shadyside's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 22 of 23 are shown.
340B drug pricing program
Participating since 2020
340B ID DSH390164, registered as a disproportionate share hospital; 105 registered outpatient sites; 200 active contract pharmacies. Authorizing official: Megan Metcalf, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Pittsburgh City Center
FAA location ID PS78, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Western psychiatric institute & clin
CCN 39S164, certified 1992, Medicare prospective payment
Rehabilitation unit
CCN 39T164, certified 1991, Medicare prospective payment
Outpatient renal
CCN 392327, certified 2004
Source: Worksheet S-2 Part I of Upmc Shadyside's latest Medicare cost report (HCRIS).
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 a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
Yes. CMS counts 0.72 Medicare-funded residents per bed at Upmc Shadyside for fiscal year 2027, so it is a major teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Upmc Shadyside's base inpatient payments by an estimated 0.33% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (306 discharges), heart failure and shock with mcc (177 discharges), craniotomy and endovascular intracranial procedures with mcc (104 discharges).
Upmc Shadyside's Medicare case mix index is 2.63 for fiscal year 2027, higher than 95% of hospitals paid under the inpatient prospective payment system.
Upmc Shadyside reported 42,722 inpatient discharges and 308,301 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Upmc Shadyside reported 8,832 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Upmc Shadyside reported $2.4B in net patient revenue on $20B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -24.3%, and net income of -$159.9M.
Upmc Shadyside reported $28.8M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $24.1M of charity care at cost.
Upmc Shadyside's Medicare enrollment lists Sandra Rader as Hospital President since 2022.
Insurers' price transparency files list Upmc Shadyside under employer identification number 25-0965480 (UPMC Presbyterian Shadyside). 59 health plans and networks list 25-0965480 for it.
Yes. HRSA's 340B database lists Upmc Shadyside (340B ID DSH390164) as a participating disproportionate share hospital since 2020, with 200 active contract pharmacies.
2,633 clinicians who bill Medicare list Upmc Shadyside as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (248), specialist (207), physician assistant (163).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Upmc Shadyside, effective 2021.
In its Medicare enrollment, Upmc Shadyside reports Upmc as 5% or greater direct ownership interest (100%).
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Upmc Shadyside came from ZIP codes 15206 (872), 15221 (857), 15217 (809).
Upmc Shadyside has 1,368 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 1,371 are Medicare-certified beds in CMS's Provider of Services file. 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.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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