▸ Hospital · · CCN 399817

Upmc Hamot (transplant Center)

Compliance grade
A
100/100
Procedures tracked
173
of 209 target codes
Payers
17
with negotiated rates
Rates published
60,588
last crawl 2026-05-24

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG88511$10,609$13,500$16,974
emergency
ED visit level 1CPT9928115$641$384.6$51.6$220$512.8
ED visit level 2CPT9928216$1,067$640.2$36.28$304.1$853.6
ED visit level 3CPT9928316$1,322$793.2$62.31$396.6$1,057.6
ED visit level 4CPT9928416$2,635$1,581$104.86$788.53$2,108
ED visit level 5CPT9928516$3,609$2,165.4$152.61$1,028.57$2,887.2
Critical care, first hourCPT9929116$4,440$2,664$166.79$1,154.4$3,552
imaging
CT head without contrastCPT7045016$5,212$3,127.2$98.61$778.1$4,169.6
CT head with contrastCPT7046016$5,212$3,127.2$130.53$781.8$4,169.6
CT head with and without contrastCPT7047016$5,997$3,598.2$146.43$899.55$4,797.6
CT neck with contrastCPT7049116$2,688$1,612.8$151.25$693$2,150.4
MRI brain without contrastCPT7055116$8,631$5,178.6$182.96$1,478$6,904.8
MRI brain with contrastCPT7055216$8,631$5,178.6$220.15$1,479.38$6,904.8
MRI brain with and without contrastCPT7055316$13,194$7,916.4$281.64$2,610.88$10,555
Chest X-ray single viewCPT7104516$813$487.8$6.43$121.95$650.4
Chest X-ray 2 viewsCPT7104616$888$532.8$11.78$133.2$710.4
Chest X-ray 3 viewsCPT7104716$1,036$621.6$14.98$155.4$828.8
CT chest without contrastCPT7125016$5,473$3,283.8$117.01$820.95$4,378.4
CT chest with contrastCPT7126016$5,473$3,283.8$134.85$820.95$4,378.4
CT chest with and without contrastCPT7127016$6,840$4,104$143.96$1,026$5,472
MRI chest without contrastCPT7155016$3,409$2,045.4$179.49$920.43$2,780.79
MRI chest with contrastCPT7155116$5,073$3,043.8$431.72$1,357.92$4,058.4
MRI chest with and without contrastCPT7155216$4,025$2,415$278.13$1,207.5$4,807.22
Lumbosacral spine X-rayCPT7210016$730$438$25.96$182.5$584
CT cervical spine without contrastCPT7212516$6,840$4,104$115.81$976.03$5,472
CT thoracic spine without contrastCPT7212816$3,178$1,906.8$115.76$701.1$2,542.4
CT lumbar spine without contrastCPT7213116$3,178$1,906.8$115.76$701.1$2,542.4
MRI cervical spine without contrastCPT7214116$2,513$1,507.8$183.52$753.9$2,780.79
MRI thoracic spine without contrastCPT7214616$2,738$1,642.8$183.52$821.4$3,033.13
MRI lumbar spine without contrastCPT7214816$2,705$1,623$183.52$811.5$2,995.03
MRI lumbar spine with and without contrastCPT7214916$2,578$1,546.8$220.65$773.4$3,293.93
MRI cervical spine with and without contrastCPT7215616$4,271$2,562.6$281.64$1,281.3$5,874.31
MRI lumbar spine with contrastCPT7215816$4,227$2,536.2$281.64$1,268.1$5,814.46
CT pelvis without contrastCPT7219216$4,730$2,838$117.01$709.5$3,784
CT pelvis with contrastCPT7219316$4,730$2,838$134.02$786.07$3,784
Shoulder X-rayCPT7303015$569$341.4$21.87$170.7$455.2
Humerus X-rayCPT7306015$391$234.6$19.42$118.5$312.8
Hand X-ray 3 viewsCPT7313015$417$250.2$20.23$125.1$333.6
MRI upper extremity joint without contrastCPT7322115$3,409$2,045.4$167.99$1,124.97$2,727.2
MRI upper extremity joint with and without contrastCPT7322315$4,025$2,415$265.23$1,328.25$4,829.42
Knee X-ray 1-2 viewsCPT7356015$423$253.8$19.42$126.9$338.4
Ankle X-ray 3 viewsCPT7361015$542$325.2$20.23$162.6$433.6
MRI lower extremity joint without contrastCPT7372115$3,409$2,045.4$167.99$1,124.97$2,727.2
MRI lower extremity joint with and without contrastCPT7372315$4,025$2,415$264.38$1,328.25$4,829.42
CT abdomen without contrastCPT7415016$6,840$4,104$117.01$949.58$5,472
CT abdomen with contrastCPT7416016$6,840$4,104$146.43$1,026$5,472
CT abdomen with and without contrastCPT7417016$8,788$5,272.8$161.2$1,318.2$7,030.4
CT abdomen and pelvis without contrastCPT7417616$11,576$6,945.6$185.12$1,433.74$9,260.8
CT abdomen and pelvis with contrastCPT7417716$11,576$6,945.6$210.72$1,736.4$9,260.8
CT abdomen and pelvis with and without contrastCPT7417816$15,631$9,378.6$231.84$2,298.03$12,505
MRI abdomen without contrastCPT7418116$4,008$2,404.8$180.32$1,082.16$3,206.4
MRI abdomen with and without contrastCPT7418316$4,763$2,857.8$271.09$1,286.01$4,838.94
Abdominal ultrasound completeCPT7670016$1,085$651$93.32$276.9$868
Abdominal ultrasound limitedCPT7670516$793$475.8$68.13$219.23$634.4
Retroperitoneal ultrasound completeCPT7677016$737$442.2$85.14$221.1$630.6
Obstetric ultrasound first trimesterCPT7680116$1,124$674.4$92.5$278.17$899.2
Obstetric ultrasound after first trimesterCPT7680516$1,381$828.6$85.25$327.93$1,104.8
Obstetric ultrasound with fetal anatomyCPT7681116$1,381$828.6$202.52$393.59$1,626.97
Transvaginal ultrasoundCPT7683016$770$462$84.15$226.31$616
Pelvic ultrasound completeCPT7685616$1,199$719.4$80.17$276$959.2
Scrotal ultrasoundCPT7687016$1,163$697.8$74.44$276$930.4
Diagnostic mammography unilateralCPT7706513$798$478.8$57.72$239.4$638.4
Diagnostic mammography bilateralCPT7706613$1,020$612$73.61$306$816
Screening mammography bilateralCPT7706713$342$205.2$51.3$136.8$294.68
EKG tracing onlyCPT9300516$301$180.6$11.51$80.34$240.8
Transthoracic echocardiogram completeCPT9330616$2,493$1,495.8$155.12$731.43$1,994.4
Transthoracic echocardiogramCPT9330716$1,352$811.2$154.42$393.4$1,081.6
Stress echocardiogramCPT9335016$1,160$696$84.15$522.91$957.76
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG06412$9,495.41$19,383$44,378
Intracranial hemorrhage/CVA w CCMS-DRG06512$9,208.67$9,886.09$27,879
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG06612$6,255.42$6,810$21,778
Respiratory infections & inflammations w MCCMS-DRG17712$9,495.41$15,134$34,200
COPD w MCCMS-DRG19012$9,495.41$10,822$23,074
COPD w CCMS-DRG19112$7,705.02$8,313.93$20,388
COPD w/o CC/MCCMS-DRG19212$5,867.88$6,408.13$16,278
Simple pneumonia & pleurisy w CCMS-DRG19412$7,365.93$7,961.59$19,313
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19512$5,744.49$6,280.18$14,508
AMI discharged alive w MCCMS-DRG28012$9,495.41$15,527$34,643
AMI discharged alive w CCMS-DRG28112$8,400.57$9,049.79$23,896
AMI discharged alive w/o CC/MCCMS-DRG28212$6,609.13$7,176.8$21,557
Heart failure & shock w MCCMS-DRG29112$9,495.41$12,491$26,772
Heart failure & shock w CCMS-DRG29212$7,759.86$8,371.96$18,270
Heart failure & shock w/o CC/MCCMS-DRG29312$5,173.24$5,687.82$16,342
Cardiac arrhythmia w MCCMS-DRG30812$9,495.41$11,735$24,844
Cardiac arrhythmia w CCMS-DRG30912$6,724.3$7,296.21$15,646
Cardiac arrhythmia w/o CC/MCCMS-DRG31012$5,174.15$5,688.76$12,233
GI hemorrhage w CCMS-DRG37812$8,947.69$9,601.17$24,339
GI hemorrhage w/o CC/MCCMS-DRG37912$5,761.86$6,298.19$17,163
Esophagitis/gastroenteritis w/o MCCMS-DRG39212$7,125.54$7,712.29$16,405
Fractures of femur w/o MCCMS-DRG53311$14,123$15,252$48,298
Kidney/UTI w MCCMS-DRG68911$10,531$11,373$28,827
Kidney/UTI w/o MCCMS-DRG69011$7,398.83$7,958.87$15,773
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87111$17,428$18,820$44,315
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87211$9,323.28$10,047$22,632
lab
Basic metabolic panel (BMP)CPT8004816$891$534.6$8.36$88.28$712.8
Electrolyte panelCPT8005116$241$144.6$6.92$32.65$192.8
Comprehensive metabolic panelCPT8005316$753$451.8$10.43$98.88$602.4
Lipid panelCPT8006116$689$413.4$13.24$58.72$551.2
Renal function panelCPT8006916$634$380.4$8.58$53.21$507.2
Hepatic function panelCPT8007616$535$321$8.08$46.47$428
Urinalysis non-automatedCPT8100214$33$19.8$3.44$10.4$33.61
Urinalysis automatedCPT8100316$61$36.6$2.22$10.59$48.8
Glucose quantitativeCPT8294716$272$163.2$3.89$29.87$217.6
Hemoglobin A1cCPT8303616$209$125.4$7$43.1$167.2
Thyroid stimulating hormone (TSH)CPT8444316$429$257.4$16.6$81.24$343.2
Complete blood count with automated differentialCPT8502516$357$214.2$6$49.47$285.6
Complete blood count without differentialCPT8502716$258$154.8$6.39$38.25$206.4
Urine culture bacterialCPT8708616$104$62.4$7.98$20.15$83.2
Urine culture identificationCPT8708816$104$62.4$8$20.42$83.2
Tissue exam by pathologist level IVCPT8830516$417$250.2$33.11$102.15$333.6
maternity
Fetal non-stress testCPT5902516$1,410$846$19.25$366.6$1,128
Vaginal delivery onlyCPT5940915$15,526$9,315.6$1,380.58$4,657.8$12,421
C-section delivery onlyCPT5951411$16,455$9,873$817.56$6,582$13,164
office
Office visit, new patient, 15-29 minCPT9920214$300$180$38.86$120$259.81
Office visit, new patient, 30-44 minutesCPT9920314$386$231.6$57.9$154.4$334.78
Office visit, new patient, 45-59 minCPT9920414$495$297$63.91$198$419.02
Office visit, new patient, 60-74 minCPT9920514$601$360.6$63.91$230.51$527.06
Office visit, established patient, 5 minCPT9921116$197$118.2$20.2$63.91$161.47
Office visit, established patient, 10-19 minCPT9921214$231$138.6$28.6$92.4$184.8
Office visit, established patient, 20-29 minutesCPT9921314$261$156.6$38.5$104.4$208.8
Office visit, established patient, 30-39 minutesCPT9921414$297$178.2$44.55$118.8$247.66
Office visit, established patient, 40-54 minCPT9921514$343$205.8$51.45$137.2$333.55
preventive
Upper GI endoscopy diagnosticCPT4323516$3,851$2,310.6$137.74$1,155.3$3,080.8
Upper GI endoscopy with biopsyCPT4323916$5,207$3,124.2$163.44$1,473.76$4,165.6
Sigmoidoscopy diagnosticCPT4533016$997$598.2$58.47$672.98$6,879.78
Sigmoidoscopy with biopsyCPT4533116$3,856$2,313.6$70.04$1,156.8$3,084.8
Colonoscopy diagnosticCPT4537816$2,500$1,500$198.55$1,028.66$3,528.4
Colonoscopy with biopsyCPT4538016$5,165$3,099$247.96$1,549.5$4,132
Colonoscopy with polyp removalCPT4538516$5,164$3,098.4$294.89$1,549.2$4,131.2
surgery
Total shoulder arthroplastyCPT2347211$2,617.92$20,656$25,500
PCI w drug-eluting stent w MCCMS-DRG2461$9,495.41$9,495.41$9,495.41
PCI w drug-eluting stent w/o MCCMS-DRG2471$9,495.41$9,495.41$9,495.41
Total hip replacementCPT2713011$2,469.3$14,582$22,327
Total knee replacementCPT2744711$2,665.46$14,582$22,327
Knee revision arthroplasty single componentCPT274863$2,414.3$4,632.7$11,673
Knee revision arthroplasty all componentsCPT274873$3,091.05$5,035.44$14,944
Shoulder arthroscopy with decompressionCPT298264$340$2,529.08$4,046.49
Shoulder arthroscopy with rotator cuff repairCPT2982711$1,262.14$8,023.89$11,318
Knee arthroscopy with meniscectomyCPT2988113$597.85$3,570.11$5,093.35
ACL reconstructionCPT2988811$836.96$8,023.89$11,318
Major small/large bowel procedures w MCCMS-DRG32912$9,495.41$43,889$91,033
Major small/large bowel procedures w CCMS-DRG33012$9,495.41$23,044$55,979
Major small/large bowel procedures w/o CC/MCCMS-DRG33112$9,495.41$16,274$42,071
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41812$9,495.41$16,356$40,332
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41912$9,495.41$13,268$33,537
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42012$9,495.41$32,616$105,636
Laparoscopic appendectomyCPT4497011$1,067.82$6,612.25$8,918.49
Spinal fusion (non-cervical) w MCCMS-DRG4591$9,495.41$9,495.41$9,495.41
Spinal fusion (non-cervical) w/o MCCMS-DRG4601$9,495.41$9,495.41$9,495.41
Major joint replacement w MCCMS-DRG46912$9,495.41$29,072$70,203
Major joint replacement w/o MCCMS-DRG47012$9,495.41$18,605$38,120
Laparoscopic cholecystectomyCPT4756211$1,414.39$6,612.25$8,918.49
Lap cholecystectomy with cholangiographyCPT4756311$1,521.52$6,612.25$8,918.49
Hip & femur procedures except major joint w MCCMS-DRG48012$9,495.41$27,926$80,570
Hip & femur procedures except major joint w CCMS-DRG48112$9,495.41$20,175$56,516
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48212$9,495.41$15,782$40,933
Lap inguinal hernia repairCPT4965011$818.32$6,553.19$8,918.49
Total abdominal hysterectomyCPT581504$1,657.58$4,042$8,013.98
Vaginal hysterectomyCPT5826011$1,432.63$5,703.25$7,931.12
Lap-assisted vaginal hysterectomyCPT5855011$1,761.78$6,869.04$11,396
Lap-assisted vaginal hysterectomy >250gCPT5855211$1,582.65$11,694$15,549
Lap salpingo-oophorectomyCPT5866115$11,804$7,082.4$1,232.68$6,492.2$9,443.2
OR procedure for obesity w MCCMS-DRG61911$25,759$27,817$69,159
OR procedure for obesity w CCMS-DRG62011$14,411$15,562$40,364
OR procedure for obesity w/o CC/MCCMS-DRG62111$13,600$14,687$32,588
Uterine & adnexa procedures w CC/MCCMS-DRG74311$11,240$12,138$27,594
Uterine & adnexa procedures w/o CC/MCCMS-DRG74411$18,368$19,835$32,209
PCI single major coronary arteryCPT9292011$29,430$17,658$773.91$11,772$23,544
PCI with drug-eluting stentCPT9292811$44,697$26,818$859.73$17,879$35,758
PCI bypass graftCPT9293711$44,697$26,818$513.05$17,879$35,758
Left heart catheterizationCPT9345215$24,737$14,842$1,046.36$7,050.05$19,790
Coronary angiography with cathCPT9345515$20,417$12,250$1,277.57$6,125.1$16,334
Coronary angiography with bypass cathCPT9345815$34,669$20,801$1,309.04$9,880.67$27,735

Payer mix (top 17)

PayerCodes coveredMedian rate
UnitedHealthcare169$420.47
Blue Cross Blue Shield169$559.91
upmc health plan167$401.13
Aetna165$539
Cigna165$738.24
pa health & wellness165$287.25
independent health161$460.77
amerihealth caritas161$262.72
upmc work partners159$957.76
univera152$687.75
fidelis149$392.96
WellCare148$443.68
geisinger110$188.68
Multiplan109$1,747.55
intergroup109$1,622.73
health partners plans (jefferson health plan)91$157.89
Molina1$45.45