Medicine & Surgery ยท Inpatient
Spinal fusion except cervical without MCC
MS-DRG 460
$38,231 - $66,801
from 4 insurers ยท median $58,679
49 Medicare discharges for this DRG in CMS hospital data
Allegheny Health Network ยท Pittsburgh, PA
36
In-network payers
272
Disclosed rate categories
552
Beds
3
Care quality
Allegheny General Hospital is a 552-bed voluntary non-profit - private hospital in Pittsburgh, PA, affiliated with Allegheny Health Network. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 272 disclosed rate categories.
CCN (Medicare provider number)
390050
NPI
1285667493
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
552
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Allegheny General Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery ยท Inpatient
MS-DRG 460
$38,231 - $66,801
from 4 insurers ยท median $58,679
49 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$8,916 - $19,391
from 3 insurers ยท median $12,089
71 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$414 - $1,119
from 4 insurers ยท median $662
Common here, based on CMS Medicare volume
Medicine & Surgery ยท Inpatient
MS-DRG 216
$156,274 - $185,691
from 4 insurers ยท median $168,890
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58571
$15,544 - $34,096
from 3 insurers ยท median $19,552
29 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery ยท Inpatient
MS-DRG 470
$24,951 - $36,110
from 4 insurers ยท median $34,517
18 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$8,918 - $19,391
from 3 insurers ยท median $11,585
71 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$251 - $1,753
from 4 insurers ยท median $912
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$399 - $3,838
from 4 insurers ยท median $2,001
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$315 - $3,838
from 4 insurers ยท median $2,020
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,412 - $2,909
from 3 insurers ยท median $1,555
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$463 - $4,153
from 4 insurers ยท median $2,640
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$11,136 - $23,275
from 3 insurers ยท median $13,491
143 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 42820
$9,255 - $18,988
from 3 insurers ยท median $11,270
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$1,030 - $4,587
from 4 insurers ยท median $3,016
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$100 - $272
from 4 insurers ยท median $139
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$25 - $279
from 4 insurers ยท median $158
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$8,916 - $19,391
from 3 insurers ยท median $11,314
Typical for a hospital with this service line
CT imaging
CPT 70450
$137 - $335
from 4 insurers ยท median $214
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$131 - $765
from 4 insurers ยท median $427
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$4,556 - $10,383
from 3 insurers ยท median $5,979
Typical for a hospital with this service line
Gynecology
CPT 58662
$9,036 - $19,391
from 3 insurers ยท median $11,292
Typical for a hospital with this service line
CT imaging
CPT 71260
$155 - $780
from 4 insurers ยท median $433
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$4,174 - $23,275
from 3 insurers ยท median $14,285
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 314% | 23 | 0 |
| Insurer B* | 24 | 186% | 13 | 6 |
| Insurer C* | 24 | 150% | 13 | 11 |
| Insurer D* | 14 | 54% | 2 | 11 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Allegheny General Hospital.
320 East North Avenue, Pittsburgh, PA 15212
(412) 359-3131
About Allegheny General Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Allegheny General Hospital range from $414 to $1,119 across 4 insurers. Blue Cross Blue Shield's rate is $711. The median at nearby comparable hospitals is $758. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Allegheny General Hospital range from $399 to $3,838 across 4 insurers. Aetna's rate is $1,743. The median at nearby comparable hospitals is $1,974. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Allegheny General Hospital range from $100 to $272 across 4 insurers. UnitedHealthcare's rate is $100. The median at nearby comparable hospitals is $164. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Allegheny General Hospital range from $24,951 to $36,110 across 4 insurers. Aetna's rate is $33,918. The median at nearby comparable hospitals is $26,812. What a patient pays depends on their plan's deductible, coinsurance and network status.
Allegheny General Hospital has 552 beds. Facility type: Short Term Acute Care Hospital.
Allegheny General Hospital is located at 320 East North Avenue, Pittsburgh, PA 15212. Its main phone number is (412) 359-3131.
Allegheny General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390050.
The National Provider Identifier (NPI) on file for Allegheny General Hospital is 1285667493.
Allegheny General Hospital is affiliated with Allegheny Health Network.
Allegheny General Hospital lists 36 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
272 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers