▸ Hospital · PA · CCN 390233
UPMC Hanover
300 HIGHLAND AVENUE, HANOVER, PA, 17331-
80 bedsAcute Care Hospitals2
Compliance grade
B
82/100
Procedures tracked
71
of 209 target codes
Payers
13
with negotiated rates
Rates published
3,848
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 10 | — | — | $1,963.5 | $10,048 | $32,825 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | — | $11,001 | $18,461 | $47,259 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 11 | — | — | $4,881.31 | $9,274.53 | $26,416 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 11 | — | — | $4,641.75 | $6,282.78 | $18,562 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | — | $7,766.55 | $14,346 | $46,797 |
| COPD w MCC | MS-DRG | 190 | 11 | — | — | $6,461.21 | $10,169 | $26,999 |
| COPD w CC | MS-DRG | 191 | 11 | — | — | $5,717.42 | $9,646.85 | $42,557 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | — | — | $4,354.18 | $7,346.7 | $16,964 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 11 | — | — | $5,465.79 | $9,222.29 | $22,989 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | — | $4,262.62 | $7,192.22 | $23,675 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | — | — | $6,482.4 | $14,726 | $41,900 |
| AMI discharged alive w CC | MS-DRG | 281 | 11 | — | — | $4,184.81 | $8,437.31 | $26,973 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | — | — | $3,435.32 | $6,638.04 | $18,260 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | — | $4,915.03 | $11,785 | $33,837 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | — | — | $5,758.11 | $9,715.5 | $26,200 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | — | $3,838.73 | $6,477 | $15,517 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | — | $8,165.79 | $13,566 | $28,294 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 11 | — | — | $4,989.69 | $7,871.52 | $18,991 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | — | — | $3,839.42 | $6,478.15 | $13,303 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | — | — | $6,651.32 | $9,002.81 | $23,264 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 11 | — | — | $3,086.58 | $5,787.06 | $16,181 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | — | — | $5,287.42 | $8,921.33 | $30,848 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 10 | — | — | $10,632 | $17,184 | $36,841 |
| Kidney/UTI w MCC | MS-DRG | 689 | 10 | — | — | $7,869.41 | $12,718 | $27,593 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 10 | — | — | $5,490.2 | $8,873.06 | $19,023 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 10 | — | — | $13,174 | $21,292 | $45,649 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 10 | — | — | $6,940.25 | $11,217 | $26,140 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 12 | — | — | $159.03 | $914.91 | $3,397 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 12 | — | — | $188.7 | $914.91 | $5,035 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 12 | — | — | $67.5 | $889.69 | $3,397 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 12 | — | — | $80.86 | $889.69 | $3,397 |
| Colonoscopy diagnostic | CPT | 45378 | 12 | — | — | $229.24 | $889.69 | $5,035 |
| Colonoscopy with biopsy | CPT | 45380 | 12 | — | — | $286.28 | $1,150.6 | $5,035 |
| Colonoscopy with polyp removal | CPT | 45385 | 12 | — | — | $340.46 | $1,178.76 | $5,035 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 10 | — | — | $1,016.56 | $18,385 | $62,489 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $5,326.38 | $5,326.38 | $5,326.38 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $5,329.27 | $5,329.27 | $5,329.27 |
| Total hip replacement | CPT | 27130 | 10 | — | — | $1,016.56 | $13,029 | $43,721 |
| Total knee replacement | CPT | 27447 | 10 | — | — | $1,016.56 | $13,152 | $43,721 |
| Knee revision arthroplasty single component | CPT | 27486 | 3 | — | — | $1,016.56 | $5,437.97 | $9,539 |
| Knee revision arthroplasty all components | CPT | 27487 | 3 | — | — | $1,140.36 | $6,365.57 | $9,539 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | — | — | $711.99 | $2,572.55 | $6,413 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 10 | — | — | $1,016.56 | $7,165.63 | $24,274 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 12 | — | — | $690.25 | $3,166.22 | $11,025 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 11 | — | — | $4,133.75 | $40,337 | $119,573 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | — | — | $2,796.61 | $22,006 | $58,489 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | — | $9,578.62 | $15,449 | $39,548 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 11 | — | — | $9,275.16 | $15,529 | $39,753 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | — | — | $8,952.44 | $12,538 | $32,096 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | — | — | $6,134.63 | $31,277 | $82,520 |
| Laparoscopic appendectomy | CPT | 44970 | 10 | — | — | $1,016.56 | $5,852.24 | $19,825 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $16,900 | $16,900 | $16,900 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $9,655.69 | $9,655.69 | $9,655.69 |
| Major joint replacement w MCC | MS-DRG | 469 | 10 | — | — | $20,572 | $33,247 | $85,652 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 10 | — | — | $13,082 | $23,004 | $54,371 |
| Laparoscopic cholecystectomy | CPT | 47562 | 10 | — | — | $1,016.56 | $5,852.24 | $19,825 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 10 | — | — | $1,016.56 | $5,852.24 | $19,825 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $19,752 | $33,327 | $175,890 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $14,205 | $23,968 | $147,466 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | — | $11,062 | $18,664 | $38,329 |
| Lap inguinal hernia repair | CPT | 49650 | 10 | — | — | $856.39 | $5,852.24 | $19,825 |
| Vaginal hysterectomy | CPT | 58260 | 10 | — | — | $1,016.56 | $4,998.74 | $16,774 |
| Lap salpingo-oophorectomy | CPT | 58661 | 10 | — | — | $1,016.56 | $5,852.24 | $19,825 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 10 | — | — | $19,583 | $31,649 | $79,739 |
| OR procedure for obesity w CC | MS-DRG | 620 | 10 | — | — | $10,854 | $17,541 | $42,180 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 10 | — | — | $10,230 | $16,534 | $35,447 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 10 | — | — | $8,414.69 | $13,600 | $29,156 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 10 | — | — | $13,897 | $22,084 | $48,154 |
| PCI single major coronary artery | CPT | 92920 | 10 | — | — | $809.9 | $5,718.99 | $19,374 |
| Coronary angiography with cath | CPT | 93455 | 10 | — | — | $1,016.56 | $3,257 | $17,298 |
| Coronary angiography with bypass cath | CPT | 93458 | 10 | — | — | $1,016.56 | $3,257 | $17,298 |
Payer mix (top 13)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 67 | $10,239 |
| Cigna | 67 | $12,168 |
| upmc health plan | 65 | $13,077 |
| Humana | 64 | $6,771.46 |
| keystone autism services | 64 | $10,834 |
| Aetna | 64 | $7,265.36 |
| Blue Cross Blue Shield | 64 | $16,681 |
| geisinger | 64 | $5,958.09 |
| pa health & wellness | 64 | $6,128.31 |
| upmc work partners | 58 | $5,327.83 |
| keystone health plan | 43 | $15,373 |
| health partners plans (jefferson health plan) | 8 | $224.11 |
| amerihealth caritas | 8 | $222.13 |