CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: PAM Health Specialty Hospital of Pittsburgh
Billing Code: 392 (MS-DRG)
The BaseRate · fair price medium confidence
A fair price for this
$9,886
about 1.7× the $5,676 Medicare rate · typically $5,062–$30,352
modeled estimate · not a bill or quote
Medicare pays $5,676 Fair price $9,886
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
✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 | $27,790 - $41,037 | 490% |
| Aetnamajor | $27,243 | 480% |
| Humanamajor | $27,243 | 480% |
| Ambetter (Centene) | $27,243 | 480% |
| AmeriHealth | $27,243 | 480% |
| Geisinger | $27,788 | 490% |
| Molina | $27,243 | 480% |
| + 2 smaller / regional plans | $27,243 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at PAM Health Specialty Hospital of Pittsburgh
Compare: Digestive disorders treatment (inpatient stay) at other PA hospitals
- Geisinger-Bloomsburg Hospital · Bloomsburg $4,806
- Chan Soon- Shiong Medical Center at Windber · Windber $5,364
- Penn State Health Lancaster Medical Center · Lancaster $5,471
- Meadville Medical Center · Meadville $5,681
- Allegheny Valley Hospital · Natrona $5,697
- Canonsburg General Hospital · Canonsburg $5,701
- Ahn Wexford Hospital · Wexford $5,843
- Forbes Hospital · Monroeville $5,907
Insurance negotiated median for the same procedure, sorted lowest first.