healthcosts.net
Angio trnslmnl balloon same vein ini at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$7,522.20
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.
?
What you pay up front if you don't use insurance.
$12,537.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$275.98 with UPMC Health Plan vs $11,283.30 with Health Payors Organization — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Health Plan | Managed Medicaid | $275.98 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $288.52 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $372.07 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $397.01 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $427.57 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $922.78 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,078.30 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $2,138.34 | ↓ -72% |
| Highmark BCBS of PA | Managed Care | $2,783.14 | ↓ -63% |
| Aetna | Neighborhood Network | $3,497.82 | ↓ -54% |
| Aetna | Home Depot Employer Group | $3,817.52 | ↓ -49% |
| Aetna | NBR ASO/FI | $3,886.47 | ↓ -48% |
| Cigna | New Business ASO | $4,262.58 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,268.34 | ↓ -43% |
| UPMC Health Plan | CHIP | $4,387.95 | ↓ -42% |
| Bravo | Medicare | $4,387.95 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $4,531.22 | ↓ -40% |
| Aetna | EBR FI | $4,764.06 | ↓ -37% |
| Cigna | Commercial | $5,014.80 | ↓ -33% |
| Aetna | EBR ASO | $5,014.80 | ↓ -33% |
| Coventry/First Health | Commercial | $5,516.28 | ↓ -27% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $5,578.14 | ↓ -26% |
| UPMC Health Plan | Commercial | $5,641.65 | ↓ -25% |
| Aetna of PA | Medicare | $5,707.51 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,716.21 | ↓ -24% |
| AmeriHealth Caritas | Medicare | $5,870.58 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,870.58 | ↓ -22% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,870.58 | ↓ -22% |
| Aetna | Medicare | $5,979.29 | ↓ -21% |
| InterGroup | PPO | $6,268.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $7,522.20 | ↑ +0% |
| Private Health Care Systems | PPO | $9,402.75 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $10,029.60 | ↑ +33% |
| American Healthcare Group | Commercial | $10,029.60 | ↑ +33% |
| National Provider Network | PPO | $10,280.34 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $11,283.30 | ↑ +50% |
| Health Payors Organization | Commercial | $11,283.30 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Angio trnslmnl balloon same vein ini at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $10,386.00 | $275.98 – $14,713.50 |
| UPMC Presbyterian | Pittsburgh | $12,229.20 | $275.98 – $17,324.70 |
| UPMC St. Margaret | Pittsburgh | $8,689.20 | $275.98 – $12,309.70 |
| UPMC Somerset | Somerset | $12,394.80 | $275.98 – $15,493.50 |
| UPMC Williamsport | Williamsport | $4,416.60 | $275.98 – $5,888.80 |