healthcosts.net
Ascenda two piece catheter at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$28,797.60
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.
$47,996.00
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.
$6,943.99 with Highmark BCBS of PA vs $46,783.02 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6,943.99 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $9,060.72 | ↓ -69% |
| Aetna | Medicare | $9,438.25 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10,486.97 | ↓ -64% |
| Aetna | Neighborhood Network | $10,533.09 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10,677.49 | ↓ -63% |
| Aetna | Home Depot Employer Group | $11,495.79 | ↓ -60% |
| Aetna | NBR ASO/FI | $11,703.43 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $12,458.49 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12,771.84 | ↓ -56% |
| Cigna | New Business ASO | $12,836.02 | ↓ -55% |
| Highmark BCBS of PA | Managed Care | $14,043.39 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity | $14,298.17 | ↓ -50% |
| Aetna | EBR FI | $14,346.14 | ↓ -50% |
| Aetna | EBR ASO | $15,101.20 | ↓ -48% |
| Cigna | Commercial | $15,101.20 | ↓ -48% |
| Coventry/First Health | Commercial | $16,611.32 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicare | $18,876.50 | ↓ -34% |
| InterGroup | PPO | $18,876.50 | ↓ -34% |
| Cigna Behavioral Health | Commercial | $22,651.80 | ↓ -21% |
| Private Health Care Systems | PPO | $28,314.75 | ↓ -2% |
| American Healthcare Group | Commercial | $30,202.40 | ↑ +5% |
| InterGroup | Approved National Affiliated PPO Business | $30,202.40 | ↑ +5% |
| National Provider Network | PPO | $30,957.46 | ↑ +8% |
| Health Payors Organization | Commercial | $33,977.70 | ↑ +18% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $33,977.70 | ↑ +18% |
| UPMC Health Plan | Commercial | $36,941.87 | ↑ +28% |
| UPMC Health Plan | CHIP | $46,783.02 | ↑ +62% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
Comments
Ascenda two piece catheter at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $80,733.00 | $2,034.72 – $75,639.78 |
| UPMC Muncy | Muncy | $25,665.60 | $6,416.40 – $38,498.40 |
| UPMC Williamsport | Williamsport | $25,665.60 | $8,555.20 – $38,498.40 |