UPMC Children's Hospital of Pittsburgh is a nonprofit children's hospital in Pittsburgh, Pennsylvania. Its CMS Certification Number (CCN) is 393302 and its NPI is 1164426896.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Pittsburgh, PA
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Pennsylvania hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $3671 rate | 98th percentile · state median $202, mean $224 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $6793 rates, all the same | 98th percentile · state median $359, mean $398 |
| MRI, brain, with and without contrast | 70553 | $7593 rates, all the same | 84th percentile · state median $494, mean $557 |
| Colonoscopy, diagnostic | 45378 | $713$412–$713 · 3 rates | 99th percentile · state median $424, mean $455 |
See UnitedHealthcare rates for every billing code at UPMC Children's Hospital of Pittsburgh
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
Not rated. CMS only stars hospitals that report enough measures; most critical access and specialty hospitals are not rated.
CMS has not published mortality, safety or readmission measures for this hospital, usually because it treats too few patients for a reliable comparison.
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Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about UPMC Children's Hospital of Pittsburgh.
UPMC Children's Hospital of Pittsburgh's CMS Certification Number (CCN) is 393302. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
UPMC Children's Hospital of Pittsburgh bills under National Provider Identifier (NPI) 1164426896.
UPMC Children's Hospital of Pittsburgh bills insurers under tax ID (EIN) 25-0402510, held by UPMC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
UPMC Children's Hospital of Pittsburgh is enrolled in Medicare as a children's hospital with nonprofit ownership. Its legal business name is UPMC Children's Hospital of Pittsburgh.
UPMC Children's Hospital of Pittsburgh is at 4401 Penn Ave, Pittsburgh, PA 15224.
Yes. UPMC Children's Hospital of Pittsburgh reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.