healthcosts.net
Bausch health Ultrasound surg at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$609.00
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.
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What you pay up front if you don't use insurance.
$1,015.00
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.
$126.25 with Aetna vs $700.00 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | Medicare | $126.25 | ↓ -79% |
| Aetna | Neighborhood Network | $140.90 | ↓ -77% |
| Aetna | Home Depot Employer Group | $153.77 | ↓ -75% |
| Aetna | NBR ASO/FI | $156.55 | ↓ -74% |
| Cigna | New Business ASO | $171.70 | ↓ -72% |
| Aetna | EBR FI | $191.90 | ↓ -68% |
| Aetna | EBR ASO | $202.00 | ↓ -67% |
| Cigna | Commercial | $202.00 | ↓ -67% |
| Coventry/First Health | Commercial | $222.20 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $252.50 | ↓ -59% |
| InterGroup | PPO | $252.50 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $277.75 | ↓ -54% |
| Cigna Behavioral Health | Commercial | $303.00 | ↓ -50% |
| Private Health Care Systems | PPO | $378.75 | ↓ -38% |
| American Healthcare Group | Commercial | $404.00 | ↓ -34% |
| InterGroup | Approved National Affiliated PPO Business | $404.00 | ↓ -34% |
| National Provider Network | PPO | $414.10 | ↓ -32% |
| Health Payors Organization | Commercial | $454.50 | ↓ -25% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $454.50 | ↓ -25% |
| UPMC Health Plan | Commercial | $552.75 | ↓ -9% |
| UPMC Health Plan | CHIP | $700.00 | ↑ +15% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
Comments
Bausch health Ultrasound surg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $633.00 | $161.10 – $1,131.78 |
| UPMC St. Margaret | Pittsburgh | $5,261.40 | $126.25 – $858.95 |
| UPMC Muncy | Muncy | $609.00 | $149.25 – $895.50 |
| UPMC Northwest | Seneca | $609.00 | $248.75 – $847.06 |
| UPMC Wellsboro | Wellsboro | $800.00 | $179.10 – $895.50 |