Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV

65200029 — Hc Pancreas Acq No Related Kidney

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $114,905

Usually $98,296–$135,797 (25th–75th percentile) across 2 hospitals · 13 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 65200029 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
UPMC PINNACLE HOSPITALS OutpatientFacility UPMC Work Partners Workers Comp $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Capital Blue Cross Medicare Advantage $41,783.60 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Keystone Health Plan Medicare Advantage $41,783.60 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Prime Net Managed Medicare $50,558.16 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Aetna Medicare $52,438.42 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC SOMERSET OutpatientFacility UPMC Health Plan CHIP $73,121.30 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC SOMERSET OutpatientFacility UPMC Work Partners Workers Comp $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC SOMERSET OutpatientFacility Geisinger Commercial $82,271.91 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC SOMERSET OutpatientFacility Aetna of PA TPA/Carrier $83,567.20 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC SOMERSET OutpatientFacility UPMC Health Plan Commercial $94,013.10 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Aetna ACO $102,578.74 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC SOMERSET OutpatientFacility Highmark BCBS of PA Medicare Advantage $103,414.41 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC SOMERSET OutpatientFacility Multiplan PPO (Includes PHCS as a Payer) $104,459.00 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC SOMERSET OutpatientFacility Highmark Wholecare (prev Gateway) Medicare $104,459.00 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Aetna PEBTF ACO $108,846.28 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Geisinger Medicaid/CHIP $114,904.90 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC SOMERSET OutpatientFacility Geisinger Medicaid $114,904.90 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Capital Blue Cross CHIP $115,468.98 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Capital Blue Cross Commercial $115,468.98 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Keystone Health Plan Commercial $121,235.12 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Aetna Commercial $128,066.73 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC SOMERSET InpatientFacility Galaxy Health Plan Commercial $135,796.70 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS InpatientFacility InterGroup PPO $135,796.70 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC SOMERSET InpatientFacility Multiplan PPO (Includes PHCS as a Payer) $135,796.70 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Highmark BCBS of PA CHIP $137,885.88 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Highmark BCBS of PA Commercial $137,885.88 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility UPMC Health Plan CHIP $146,242.60 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC SOMERSET InpatientFacility Humana Commercial $156,688.50 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS InpatientFacility Prime Net FH-Medical Rental $157,106.34 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS InpatientFacility InterGroup PPO $177,580.30 $208,918.00 $125,350.80 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS InpatientFacility Wellspan Population Health Commercial $177,580.30 $208,918.00 $125,350.80 2026-03-06 MRF ↗