healthcosts.net
Bln press regulation 71-80cm at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$16,708.20
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.
$27,847.00
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.
$3,029.28 with Highmark Wholecare (prev Gateway) vs $12,444.60 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $3,029.28 | ↓ -82% |
| Aetna | Medicare | $3,155.50 | ↓ -81% |
| Aetna | Neighborhood Network | $3,521.54 | ↓ -79% |
| Aetna | Home Depot Employer Group | $3,843.40 | ↓ -77% |
| Aetna | NBR ASO/FI | $3,912.82 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,165.26 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4,270.02 | ↓ -74% |
| Cigna | New Business ASO | $4,291.48 | ↓ -74% |
| Aetna | EBR FI | $4,796.36 | ↓ -71% |
| Aetna | EBR ASO | $5,048.80 | ↓ -70% |
| Cigna | Commercial | $5,048.80 | ↓ -70% |
| Coventry/First Health | Commercial | $5,553.68 | ↓ -67% |
| Highmark BCBS of PA | Managed Care | $5,793.50 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,793.50 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,020.69 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6,020.69 | ↓ -64% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6,311.00 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,311.00 | ↓ -62% |
| InterGroup | PPO | $6,311.00 | ↓ -62% |
| Cigna Behavioral Health | Commercial | $7,573.20 | ↓ -55% |
| Private Health Care Systems | PPO | $9,466.50 | ↓ -43% |
| UPMC Health Plan | Commercial | $9,826.79 | ↓ -41% |
| American Healthcare Group | Commercial | $10,097.60 | ↓ -40% |
| InterGroup | Approved National Affiliated PPO Business | $10,097.60 | ↓ -40% |
| National Provider Network | PPO | $10,350.04 | ↓ -38% |
| Health Payors Organization | Commercial | $11,359.80 | ↓ -32% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $11,359.80 | ↓ -32% |
| UPMC Health Plan | CHIP | $12,444.60 | ↓ -26% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
Comments
Bln press regulation 71-80cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $8,839.20 | $886.50 – $5,319.00 |
| UPMC Wellsboro | Wellsboro | $10,689.60 | $964.98 – $4,824.90 |