The 24 services Upmc Horizon - Shenango Valley 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.
Childbirth ยท Inpatient
Vaginal delivery, hospital stay
MS-DRG 807
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth ยท Inpatient
Cesarean delivery, hospital stay
MS-DRG 788
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
UnitedHealthcare$3,183
Insurer A*$1,868
Insurer B*$7,309
Medicare $3,119Nearby hospitals $4,59031% below nearby hospitals
13 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Aetna$2,667
Insurer A*$1,341
Insurer B*$1,514
Insurer C*$2,739
Medicare $336Nearby hospitals $716192% above nearby hospitals
Common here, based on CMS Medicare volume
Aetna$1,732
Insurer A*$1,135
Insurer B*$1,278
Insurer C*$2,372
Medicare $230Nearby hospitals $472219% above nearby hospitals
Common here, based on CMS Medicare volume
Aetna$688
Insurer A*$524
Insurer B*$536
Insurer C*$965
Medicare $101Nearby hospitals $273124% above nearby hospitals
Common here, based on CMS Medicare volume
Cigna$1,251
Insurer A*$884
Insurer B*$972
Insurer C*$1,241
Medicare $526Nearby hospitals $1,0159% above nearby hospitals
Common here, based on CMS Medicare volume
Blue Cross$2,722
Insurer A*$1,349
Insurer B*$2,401
Insurer C*$2,762
Medicare $336Nearby hospitals $843204% above nearby hospitals
Common here, based on CMS Medicare volume
Aetna$6,396
Insurer A*$3,470
Insurer B*$5,620
Insurer C*$6,971
Medicare $1,378Nearby hospitals $3,19788% above nearby hospitals
Common here, based on CMS Medicare volume
Childbirth ยท Inpatient
Vaginal birth after prior cesarean, hospital stay
MS-DRG 807
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Cigna$1,651
Insurer A*$939
Insurer B*$1,784
Insurer C*$2,425
Medicare $874Nearby hospitals $2,09418% below nearby hospitals
Common here, based on CMS Medicare volume
Aetna$906
Insurer A*$995
Insurer B*$1,151
Insurer C*$1,859
Medicare $169Nearby hospitals $54497% above nearby hospitals
Common here, based on CMS Medicare volume
Cigna$1,651
Insurer A*$1,395
Insurer B*$1,420
Insurer C*$2,449
Medicare $1,153Nearby hospitals $2,44537% below nearby hospitals
Common here, based on CMS Medicare volume
UnitedHealthcare$183
Insurer A*$29
Insurer B*$216
Insurer C*$284
Medicare $84Nearby hospitals $11968% above nearby hospitals
Common here, based on CMS Medicare volume
Cigna$1,651
Insurer A*$1,395
Insurer B*$1,420
Insurer C*$2,611
Medicare $1,153Nearby hospitals $2,43237% below nearby hospitals
Common here, based on CMS Medicare volume
Blue Cross$2,322
Insurer A*$1,541
Insurer B*$2,795
Insurer C*$3,022
Medicare $336Nearby hospitals $850201% above nearby hospitals
Common here, based on CMS Medicare volume
UnitedHealthcare$10,422
Insurer A*$3,238
Insurer B*$8,008
Medicare $10,240Nearby hospitals $7,625In line with nearby hospitals
Typical for a hospital with this service line
Aetna$2,810
Insurer A*$1,170
Insurer B*$1,869
Insurer C*$2,493
Medicare $1,247Nearby hospitals $1,57538% above nearby hospitals
Common here, based on CMS Medicare volume
Aetna$305
Insurer A*$127
Insurer B*$130
Insurer C*$137
Medicare $87Nearby hospitals $138In line with nearby hospitals
Common here, based on CMS Medicare volume
Blue Cross$3,692
Insurer A*$5,840
Insurer B*$8,692
Medicare $5,824Nearby hospitals $8,25929% below nearby hospitals
Typical for a hospital with this service line
Blue Cross$1,448
Insurer A*$1,374
Insurer B*$1,701
Insurer C*$3,241
Medicare $230Nearby hospitals $485225% above nearby hospitals
Common here, based on CMS Medicare volume
Blue Cross$1,111
Insurer A*$1,612
Insurer B*$1,701
Insurer C*$3,241
Medicare $230Nearby hospitals $483243% above nearby hospitals
Common here, based on CMS Medicare volume
Cigna$1,064
Insurer A*$238
Insurer B*$380
Insurer C*$572
Medicare $101Nearby hospitals $160197% above nearby hospitals
Common here, based on CMS Medicare volume
Medicare $16,162Nearby hospitals $30,70729% below nearby hospitals
Hospital reports orthopedic surgery services to CMS
How we chose these services: 1 appear in this hospital's own Medicare claims, 17 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 Upmc Horizon - Shenango Valley.