CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: UPMC Horizon

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$6,746
about 1.2× the $5,676 Medicare rate · typically $5,770–$8,428
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,770
About the fair price
about $24 over the fair price · 1.2× Medicare
Medicare pays $5,676 Fair price $6,746 This hospital $6,770

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 $6,770

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 $6,746 (about 1.2× the $5,676 Medicare rate). UPMC Horizon charges insurers about $6,770 — about the fair price. Located in Greenville, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $6,708 118%
Blue Cross Blue Shieldmajor $3,610 - $8,974 64%
Aetnamajor $6,457 - $6,582 114%
Cignamajor $6,770 119%
AmeriHealth $6,770 119%
UPMC Health Plan $6,261 - $9,470 110%
+ 1 smaller / regional plan $6,770

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Facility Profile & Credentials

  • Address: 110 North Main Street, Greenville, PA 16125
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals