healthcosts.net
Brace oths wrist hnd fngr without at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$516.00
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.
$860.00
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.
$75.60 with Highmark Wholecare (prev Gateway) vs $1,071.50 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 | $75.60 | ↓ -85% |
| Aetna | Medicare | $78.75 | ↓ -85% |
| Aetna | Neighborhood Network | $87.89 | ↓ -83% |
| Aetna | Home Depot Employer Group | $95.92 | ↓ -81% |
| Aetna | NBR ASO/FI | $97.65 | ↓ -81% |
| Cigna | New Business ASO | $107.10 | ↓ -79% |
| Aetna | EBR FI | $119.70 | ↓ -77% |
| Aetna | EBR ASO | $126.00 | ↓ -76% |
| Cigna | Commercial | $126.00 | ↓ -76% |
| Coventry/First Health | Commercial | $138.60 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $157.50 | ↓ -69% |
| InterGroup | PPO | $157.50 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $173.25 | ↓ -66% |
| Cigna Behavioral Health | Commercial | $189.00 | ↓ -63% |
| Private Health Care Systems | PPO | $236.25 | ↓ -54% |
| American Healthcare Group | Commercial | $252.00 | ↓ -51% |
| InterGroup | Approved National Affiliated PPO Business | $252.00 | ↓ -51% |
| National Provider Network | PPO | $258.30 | ↓ -50% |
| Health Payors Organization | Commercial | $283.50 | ↓ -45% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $283.50 | ↓ -45% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $313.88 | ↓ -39% |
| Highmark BCBS of PA | Managed Care - Social Mission | $474.02 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $482.64 | ↓ -6% |
| Highmark BCBS of PA | Managed Care | $634.78 | ↑ +23% |
| Highmark BCBS of PA | Commercial - Indemnity | $646.29 | ↑ +25% |
| UPMC Health Plan | Commercial | $846.11 | ↑ +64% |
| UPMC Health Plan | CHIP | $1,071.50 | ↑ +108% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
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Brace oths wrist hnd fngr without at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $201.00 | $73.70 – $1,554.89 |
| UPMC Presbyterian | Pittsburgh | $197.40 | $4.56 – $1,732.43 |
| UPMC St. Margaret | Pittsburgh | $194.40 | $64.80 – $1,314.81 |
| UPMC Muncy | Muncy | $360.60 | $42.60 – $255.60 |
| UPMC Northwest | Seneca | $642.00 | $267.50 – $1,296.62 |
| UPMC Wellsboro | Wellsboro | $436.00 | $46.26 – $231.30 |
| UPMC Williamsport | Williamsport | $170.40 | $56.80 – $255.60 |