CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: UPMC Northwest

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$6,759
about 1.2× the $5,676 Medicare rate · typically $6,471–$7,838
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,469
About the fair price
about $290 under the fair price · 1.1× Medicare
Medicare pays $5,676 Fair price $6,759 This hospital $6,469

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 $6,469

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 $6,759 (about 1.2× the $5,676 Medicare rate). UPMC Northwest charges insurers about $6,469 — about the fair price. Located in Seneca, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $6,289 - $6,589 111%
Blue Cross Blue Shieldmajor $5,990 - $9,008 106%
Aetnamajor $6,169 - $6,289 109%
AmeriHealth $6,469 114%
UPMC Health Plan $5,852 - $9,224 103%
+ 2 smaller / regional plans $3,704 - $6,469

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Facility Profile & Credentials

  • Address: 100 Fairfield Drive, Seneca, PA 16346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals