CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,218
about 1.4× the $12,807 Medicare rate · typically $12,938–$27,973
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,214
About the fair price
about $996 over the fair price · 1.5× Medicare
Medicare pays $12,807 Fair price $18,218 This hospital $19,214

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 $6,351 Priciest $19,214

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Heart stent placement (inpatient stay) is about $18,218 (about 1.4× the $12,807 Medicare rate). UPMC Children's Hospital of Pittsburgh charges insurers about $19,214 — 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 $43,573 - $69,394 340%
Aetnamajor $13,943 - $15,337 109%
UPMC Health Plan $19,166 - $19,262 150%
+ 2 smaller / regional plans $4,575 - $37,193

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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