CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: UPMC Pinnacle Hospitals

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$7,870
about 1.4× the $5,676 Medicare rate · typically $6,438–$9,947
modeled estimate · not a bill or quote
What this hospital charges insurers
$7,402
About the fair price
about $468 under the fair price · 1.3× Medicare
Medicare pays $5,676 Fair price $7,870 This hospital $7,402

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $4,806 Priciest $7,402

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,870 (about 1.4× the $5,676 Medicare rate). UPMC Pinnacle Hospitals charges insurers about $7,402 — about the fair price. Located in Harrisburg, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $7,472 132%
Blue Cross Blue Shieldmajor $6,914 - $17,222 122%
Aetnamajor $7,284 128%
Cignamajor $7,333 129%
Humanamajor $7,193 127%
UPMC Health Plan $9,297 - $10,451 164%
+ 2 smaller / regional plans $7,263 - $16,229

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Facility Profile & Credentials

  • Address: 409 South Second Street, Harrisburg, PA 17104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals