healthcosts.net
Angioplasty tib/pero/unilat/ea add 37232 at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$28,104.00
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.
$46,840.00
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.
$187.55 with UPMC Health Plan vs $42,156.00 with Multiplan — 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 | $187.55 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $196.07 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $252.85 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $269.80 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $290.57 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $2,023.83 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,187.64 | ↓ -92% |
| UPMC Health Plan | Commercial | $3,718.65 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,927.02 | ↓ -82% |
| Highmark BCBS of PA | Managed Care | $6,597.99 | ↓ -77% |
| UPMC Health Plan | CHIP | $6,727.11 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10,118.95 | ↓ -64% |
| Aetna | Medicare | $11,710.00 | ↓ -58% |
| Aetna | Neighborhood Network | $13,068.36 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity | $13,551.41 | ↓ -52% |
| Aetna | Home Depot Employer Group | $14,262.78 | ↓ -49% |
| Aetna | NBR ASO/FI | $14,520.40 | ↓ -48% |
| Cigna | New Business ASO | $15,925.60 | ↓ -43% |
| Bravo | Medicare | $16,394.00 | ↓ -42% |
| Aetna | EBR FI | $17,799.20 | ↓ -37% |
| Aetna | EBR ASO | $18,736.00 | ↓ -33% |
| Cigna | Commercial | $18,736.00 | ↓ -33% |
| Coventry/First Health | Commercial | $20,609.60 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $23,420.00 | ↓ -17% |
| InterGroup | PPO | $23,420.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $28,104.00 | ↑ +0% |
| Private Health Care Systems | PPO | $35,130.00 | ↑ +25% |
| American Healthcare Group | Commercial | $37,472.00 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $37,472.00 | ↑ +33% |
| National Provider Network | PPO | $38,408.80 | ↑ +37% |
| Health Payors Organization | Commercial | $42,156.00 | ↑ +50% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $42,156.00 | ↑ +50% |
Visitor-reported prices
Comments
Angioplasty tib/pero/unilat/ea add 37232 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $41,503.80 | $1,795.89 – $58,797.05 |
| UPMC Presbyterian | Pittsburgh | $19,576.20 | $187.55 – $27,732.95 |
| UPMC St. Margaret | Pittsburgh | $16,829.40 | $1,795.89 – $23,841.65 |
| UPMC Northwest | Seneca | $27,920.40 | $1,795.89 – $39,553.90 |
| UPMC Somerset | Somerset | $8,640.60 | $196.07 – $10,800.75 |
| UPMC Williamsport | Williamsport | $4,394.40 | $218.24 – $5,859.20 |