Allegheny Health Network · Pittsburgh, PA
33
In-network payers
264
Disclosed rate categories
338
Beds
3
Care quality
West Penn Hospital is a 338-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 33 in-network payers and 264 disclosed rate categories.
CCN (Medicare provider number)
390090
NPI
1194744805
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
338
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 West Penn 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.
Childbirth · Inpatient
MS-DRG 807
$8,211 - $11,330
from 4 insurers · median $10,091
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 neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$12,520 - $15,907
from 4 insurers · median $15,586
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 neonatal nursery services to CMS
Gynecology
CPT 58558
$4,556 - $10,383
from 3 insurers · median $5,979
78 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Gynecology
CPT 58571
$15,544 - $34,096
from 3 insurers · median $19,552
101 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$156,274 - $185,691
from 4 insurers · median $168,890
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 55866
$15,770 - $34,096
from 3 insurers · median $20,089
101 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$8,211 - $11,330
from 4 insurers · median $10,091
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 neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$8,916 - $19,391
from 3 insurers · median $12,089
56 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$8,918 - $19,391
from 3 insurers · median $11,585
56 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$414 - $1,119
from 4 insurers · median $662
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$38,231 - $66,801
from 4 insurers · median $58,679
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 47563
$8,916 - $19,391
from 3 insurers · median $11,194
56 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$251 - $1,753
from 4 insurers · median $912
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$399 - $3,838
from 4 insurers · median $2,001
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$35,929 - $47,344
from 4 insurers · median $45,473
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 45380
$315 - $3,838
from 4 insurers · median $2,020
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$463 - $4,153
from 4 insurers · median $2,640
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,030 - $4,587
from 4 insurers · median $3,016
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$100 - $272
from 4 insurers · median $139
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$25 - $279
from 4 insurers · median $158
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$8,916 - $19,391
from 3 insurers · median $11,314
Typical for a hospital with this service line
CT imaging
CPT 70450
$137 - $335
from 4 insurers · median $214
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$8,141 - $16,046
from 3 insurers · median $9,558
13 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74176
$131 - $765
from 4 insurers · median $427
Common here, based on CMS Medicare volume
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% | 13 | 0 |
| Insurer B* | 24 | 186% | 11 | 6 |
| Insurer C* | 24 | 147% | 8 | 10 |
| Insurer D* | 16 | 49% | 1 | 10 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 7 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 West Penn Hospital.
4800 Friendship Avenue, Pittsburgh, PA 15224
(412) 578-5000
The nearest hospitals of similar type and size. Their rates are compared with West Penn Hospital for the same insurers and services above.
Upmc Magee-Womens Hospital
▲ Rates typically 35% higher than West Penn Hospital (18 services)
Upmc Mercy
▲ Rates typically 16% higher than West Penn Hospital (18 services)
Upmc St Margaret
▲ Rates typically 19% higher than West Penn Hospital (21 services)
Upmc Passavant - Mccandless
Rates about the same as West Penn Hospital (19 services)
St. Clair Hospital
▼ Rates typically 12% lower than West Penn Hospital (21 services)
Upmc Mckeesport
▲ Rates typically 38% higher than West Penn Hospital (15 services)
Allegheny General Hospital
Upmc Shadyside
About West Penn Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at West Penn Hospital range from $414 to $1,119 across 4 insurers. Aetna's rate is $612. The median at nearby comparable hospitals is $2,215. 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 West Penn Hospital range from $399 to $3,838 across 4 insurers. UnitedHealthcare's rate is $3,838. The median at nearby comparable hospitals is $1,894. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at West Penn Hospital range from $8,211 to $11,330 across 4 insurers. Cigna's rate is $9,480. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at West Penn Hospital range from $100 to $272 across 4 insurers. UnitedHealthcare's rate is $100. The median at nearby comparable hospitals is $157. What a patient pays depends on their plan's deductible, coinsurance and network status.
West Penn Hospital has 338 beds. Facility type: Short Term Acute Care Hospital.
West Penn Hospital is located at 4800 Friendship Avenue, Pittsburgh, PA 15224. Its main phone number is (412) 578-5000.
West Penn Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390090.
The National Provider Identifier (NPI) on file for West Penn Hospital is 1194744805.
West Penn Hospital is affiliated with Allegheny Health Network.
West Penn Hospital lists 33 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
264 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