healthcosts.net
Angioplasty/iliac/init ves/unilat 37220 at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$20,443.20
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.
$34,072.00
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.
$385.15 with UPMC Health Plan vs $35,213.68 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 Health Plan | Managed Medicaid | $385.15 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $402.66 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $519.26 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $554.06 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $596.71 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $5,263.54 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5,684.64 | ↓ -72% |
| UPMC Health Plan | Commercial | $7,158.58 | ↓ -65% |
| Aetna | Medicare | $8,518.00 | ↓ -58% |
| Aetna | Neighborhood Network | $9,506.09 | ↓ -53% |
| Aetna | Home Depot Employer Group | $10,374.92 | ↓ -49% |
| Aetna | NBR ASO/FI | $10,562.32 | ↓ -48% |
| UPMC Health Plan | CHIP | $11,394.15 | ↓ -44% |
| Cigna | New Business ASO | $11,584.48 | ↓ -43% |
| Bravo | Medicare | $11,925.20 | ↓ -42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $12,802.97 | ↓ -37% |
| Aetna | EBR FI | $12,947.36 | ↓ -37% |
| Cigna | Commercial | $13,628.80 | ↓ -33% |
| Aetna | EBR ASO | $13,628.80 | ↓ -33% |
| Coventry/First Health | Commercial | $14,991.68 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $17,036.00 | ↓ -17% |
| InterGroup | PPO | $17,036.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $17,145.05 | ↓ -16% |
| Cigna Behavioral Health | Commercial | $20,443.20 | ↑ +0% |
| Private Health Care Systems | PPO | $25,554.00 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $26,294.36 | ↑ +29% |
| InterGroup | Approved National Affiliated PPO Business | $27,257.60 | ↑ +33% |
| American Healthcare Group | Commercial | $27,257.60 | ↑ +33% |
| National Provider Network | PPO | $27,939.04 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $30,664.80 | ↑ +50% |
| Health Payors Organization | Commercial | $30,664.80 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity | $35,213.68 | ↑ +72% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Angioplasty/iliac/init ves/unilat 37220 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $31,723.80 | $4,666.70 – $44,942.05 |
| UPMC Presbyterian | Pittsburgh | $25,002.60 | $385.15 – $35,420.35 |
| UPMC St. Margaret | Pittsburgh | $14,970.00 | $4,666.70 – $21,207.50 |
| UPMC Northwest | Seneca | $20,309.40 | $4,666.70 – $28,771.65 |
| UPMC Somerset | Somerset | $16,320.60 | $892.40 – $20,400.75 |
| UPMC Williamsport | Williamsport | $3,734.40 | $385.15 – $4,992.28 |