CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: UPMC St Margaret

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$7,326
about 1.3× the $5,676 Medicare rate · typically $5,914–$9,106
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,030
About the fair price
about $704 over the fair price · 1.4× Medicare
Medicare pays $5,676 Fair price $7,326 This hospital $8,030

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 $8,030

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 $7,326 (about 1.3× the $5,676 Medicare rate). UPMC St Margaret charges insurers about $8,030 — about the fair price. Located in Pittsburgh, PA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $6,563 - $23,927 116%
Aetnamajor $6,891 - $7,219 121%
UPMC Health Plan $6,898 - $8,030 122%
+ 1 smaller / regional plan $7,088

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Facility Profile & Credentials

  • Address: 815 Freeport Road, Pittsburgh, PA 15215
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals