Upmc Mercy

Pittsburgh, Pennsylvania 15219

CCN: 390028 Acute Care Hospitals Emergency Services
3/5
CMS Star Rating
Average
42
DRG Categories
809
Total Discharges
$97,037
Avg Charges
$18,434
Avg Payment
$13,092
Avg Medicare
5.26x
Charge-to-Payment

Quality Ratings — CMS Hospital Compare

Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness

Mortality
Same as Average
Safety of Care
Above Average
Readmissions
Same as Average
Patient Experience
Reported
Pennsylvania Average Rating
3.28 / 5 This hospital is below average
15 five-star hospitals of rated in Pennsylvania
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Private

Compared to Pennsylvania Average

How this hospital compares to the average of 129 hospitals in Pennsylvania

Average Charges
$97,037 -2%
State avg: $99,109
Average Payment
$18,434 +2%
State avg: $17,987
Charge-to-Payment Ratio
5.26x Below avg
State avg: 5.31x

Top 20 DRGs by Volume

Most common diagnosis groups at this hospital, sorted by number of discharges

DRG Description Discharges Avg Charges Avg Payment Markup
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC 57 $92,253 $19,329 4.77x
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC 48 $87,997 $17,438 5.05x
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS 41 $70,697 $11,696 6.04x
291 HEART FAILURE AND SHOCK WITH MCC 38 $66,821 $15,415 4.33x
552 MEDICAL BACK PROBLEMS WITHOUT MCC 33 $62,238 $10,219 6.09x
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC 31 $100,029 $21,516 4.65x
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC 30 $121,024 $20,209 5.99x
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC 25 $81,888 $14,179 5.78x
184 MAJOR CHEST TRAUMA WITH CC 24 $59,021 $11,251 5.25x
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC 23 $49,517 $9,050 5.47x
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC 23 $28,390 $10,510 2.7x
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC 21 $186,880 $33,300 5.61x
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC 21 $232,738 $42,847 5.43x
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC 18 $62,894 $12,484 5.04x
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O 17 $221,904 $52,003 4.27x
378 GASTROINTESTINAL HEMORRHAGE WITH CC 17 $59,691 $10,866 5.49x
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC 17 $86,290 $15,658 5.51x
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC 16 $65,184 $13,102 4.97x
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 16 $49,311 $12,518 3.94x
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC 15 $37,320 $8,769 4.26x

Showing top 20 of 42 DRG categories at this hospital.

About This Data

Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.

My Cost List

0 procedures

No procedures added yet

Click "Add to My List" on any procedure to start building your estimate.