CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$9,541
about 1.7× the $5,676 Medicare rate · typically $5,432–$15,040
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,518
Below the fair price — a good deal
about $1,023 under the fair price · 1.5× Medicare
Medicare pays $5,676 Fair price $9,541 This hospital $8,518

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 $8,518

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 $9,541 (about 1.7× the $5,676 Medicare rate). UPMC Children's Hospital of Pittsburgh charges insurers about $8,518 — below the fair price — a good deal. 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 $12,357 - $19,681 218%
Aetnamajor $4,121 - $4,533 73%
UPMC Health Plan $8,475 - $8,518 149%
+ 1 smaller / regional plan $5,989 - $16,447

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Facility Profile & Credentials

  • Address: One Children's Hospital Drive, Pittsburgh, PA 15224
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens