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Childrens HospitalVoluntary Non-Profit - Other

Upmc Childrens Hospital Of Pittsburgh

UPMC ยท Pittsburgh, PA

One Children's Hospital Drive, Pittsburgh, PA 15224(412) 692-5325

Not rated by CMS

CMS star rating

313

Beds

13,248

Inpatient discharges a year

$991M

Net patient revenue a year

35

In-network payers

Staticshakedown, CC BY-SA 4.0, via Wikimedia Commons

About this hospital

Upmc Childrens Hospital Of Pittsburgh is a 313-bed voluntary non-profit - other hospital in Pittsburgh, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 180 disclosed rate categories.

  • 340B participant
CCN
393302
NPI
1164426896
Website
chp.edu
Health system
UPMC
County
Allegheny County
Metro area
Pittsburgh, PA MSA
Medicare contractor
Jurisdiction L, Novitas Solutions (12001)
In Medicare since
1984
Last CMS survey
2007

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Upmc Childrens Hospital Of Pittsburgh in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
25-0402510UPMC Childrens Hospital of Pittsburgh63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 58 more1164426896 Upmc Children's Hospital Of Pittsburgh1053476556 Upmc Children's Hospital Of Pittsburgh1619313350 Upmc Children's Hospital Of Pittsburghand 10 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

One Children's Hospital Drive, Pittsburgh, PA 15224

(412) 692-5325

Get directions

Frequently asked questions

About Upmc Childrens Hospital Of Pittsburgh's rates and hospital price transparency.

How many patients does Upmc Childrens Hospital Of Pittsburgh admit?

Upmc Childrens Hospital Of Pittsburgh reported 13,248 inpatient discharges and 84,891 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Upmc Childrens Hospital Of Pittsburgh have?

Upmc Childrens Hospital Of Pittsburgh reported 2,731 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Upmc Childrens Hospital Of Pittsburgh make?

Upmc Childrens Hospital Of Pittsburgh reported $991M in net patient revenue on $3.8B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -0.1%, and net income of $123.5M.

What is Upmc Childrens Hospital Of Pittsburgh's tax ID (EIN)?

Insurers' price transparency files list Upmc Childrens Hospital Of Pittsburgh under employer identification number 25-0402510 (UPMC Childrens Hospital of Pittsburgh). 63 health plans and networks list 25-0402510 for it.

Does Upmc Childrens Hospital Of Pittsburgh participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Upmc Childrens Hospital Of Pittsburgh (340B ID PED393302-00) as a participating children's hospital since 2010, with 46 active contract pharmacies.

How many doctors are affiliated with Upmc Childrens Hospital Of Pittsburgh?

52 clinicians who bill Medicare list Upmc Childrens Hospital Of Pittsburgh as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are pediatric cardiology physician (10), pediatrics physician (7), specialist (7).

Is Upmc Childrens Hospital Of Pittsburgh accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Upmc Childrens Hospital Of Pittsburgh, effective 2009.

Who owns Upmc Childrens Hospital Of Pittsburgh?

In its Medicare enrollment, Upmc Childrens Hospital Of Pittsburgh reports Upmc as 5% or greater direct ownership interest (100%).

What services does Upmc Childrens Hospital Of Pittsburgh offer?

CMS lists 28 services at Upmc Childrens Hospital Of Pittsburgh, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Cardiac Thoracic Surgery, Clinical Laboratory, Dental Care.

How many beds does Upmc Childrens Hospital Of Pittsburgh have?

Upmc Childrens Hospital Of Pittsburgh has 313 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 312 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Childrens Hospital.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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