healthcosts.net
Abd/low ext cath 2nd at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$4,366.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$7,277.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$804.27 with UPMC Work Partners vs $6,866.96 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $804.27 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,108.55 | ↓ -75% |
| Aetna | Medicare | $1,819.25 | ↓ -58% |
| UPMC Health Plan | Commercial | $1,942.67 | ↓ -56% |
| Aetna | Neighborhood Network | $2,030.28 | ↓ -54% |
| Aetna | Home Depot Employer Group | $2,215.85 | ↓ -49% |
| Aetna | NBR ASO/FI | $2,255.87 | ↓ -48% |
| Cigna | New Business ASO | $2,474.18 | ↓ -43% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,496.69 | ↓ -43% |
| Bravo | Medicare | $2,546.95 | ↓ -42% |
| Aetna | EBR FI | $2,765.26 | ↓ -37% |
| Aetna | EBR ASO | $2,910.80 | ↓ -33% |
| Cigna | Commercial | $2,910.80 | ↓ -33% |
| Coventry/First Health | Commercial | $3,201.88 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $3,343.43 | ↓ -23% |
| UPMC Health Plan | CHIP | $3,514.34 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,638.50 | ↓ -17% |
| InterGroup | PPO | $3,638.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,002.35 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $4,366.20 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,127.62 | ↑ +17% |
| Private Health Care Systems | PPO | $5,457.75 | ↑ +25% |
| American Healthcare Group | Commercial | $5,821.60 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $5,821.60 | ↑ +33% |
| National Provider Network | PPO | $5,967.14 | ↑ +37% |
| Health Payors Organization | Commercial | $6,549.30 | ↑ +50% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $6,549.30 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,866.96 | ↑ +57% |
Visitor-reported prices
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Abd/low ext cath 2nd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $6,016.80 | $795.09 – $8,523.80 |
| UPMC Presbyterian | Pittsburgh | $7,748.40 | $804.27 – $10,976.90 |
| UPMC St. Margaret | Pittsburgh | $3,433.80 | $795.09 – $4,864.55 |
| UPMC Northwest | Seneca | $6,644.40 | $756.89 – $9,412.90 |
| UPMC Somerset | Somerset | $4,321.20 | $748.03 – $5,401.50 |
| UPMC Williamsport | Williamsport | $948.00 | $426.60 – $1,264.00 |