healthcosts.net
C motor evoked upr&lwr limbs at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$330.00
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.
$550.00
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.
$153.45 with Aetna vs $2,298.23 with Highmark BCBS of PA — 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 | Neighborhood Network | $153.45 | ↓ -54% |
| Aetna | Home Depot Employer Group | $167.47 | ↓ -49% |
| Aetna | NBR ASO/FI | $170.50 | ↓ -48% |
| Cigna | New Business ASO | $187.00 | ↓ -43% |
| Bravo | Medicare | $192.50 | ↓ -42% |
| Aetna | EBR FI | $209.00 | ↓ -37% |
| Cigna | Commercial | $220.00 | ↓ -33% |
| Aetna | EBR ASO | $220.00 | ↓ -33% |
| Coventry/First Health | Commercial | $242.00 | ↓ -27% |
| InterGroup | PPO | $275.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $330.00 | ↑ +0% |
| UPMC Health Plan | Managed Medicaid | $378.73 | ↑ +15% |
| United Healthcare Community Plan for Families | PA Medicaid | $395.94 | ↑ +20% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $405.27 | ↑ +23% |
| Private Health Care Systems | PPO | $412.50 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $440.00 | ↑ +33% |
| American Healthcare Group | Commercial | $440.00 | ↑ +33% |
| National Provider Network | PPO | $451.00 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $495.00 | ↑ +50% |
| Health Payors Organization | Commercial | $495.00 | ↑ +50% |
| Highmark Wholecare (prev Gateway) | Medicaid | $510.60 | ↑ +55% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $544.82 | ↑ +65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $586.76 | ↑ +78% |
| UPMC Health Plan | Commercial | $715.97 | ↑ +117% |
| UPMC Work Partners | Workers Comp | $721.94 | ↑ +119% |
| UPMC Health Plan | Managed Medicare | $808.56 | ↑ +145% |
| UPMC Health Plan | CHIP | $906.70 | ↑ +175% |
| Highmark BCBS of PA | Managed Care - Social Mission | $912.76 | ↑ +177% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $995.37 | ↑ +202% |
| Aetna of PA | Medicare | $1,018.46 | ↑ +209% |
| AmeriHealth Caritas | Medicare | $1,047.56 | ↑ +217% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,047.56 | ↑ +217% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,047.56 | ↑ +217% |
| Aetna | Medicare | $1,066.96 | ↑ +223% |
| Highmark BCBS of PA | Managed Care | $1,222.32 | ↑ +270% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,716.07 | ↑ +420% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,298.23 | ↑ +596% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
C motor evoked upr&lwr limbs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $369.60 | $209.44 – $1,066.96 |
| UPMC Presbyterian | Pittsburgh | $477.00 | $305.47 – $1,066.96 |
| UPMC St. Margaret | Pittsburgh | $704.40 | $295.85 – $1,018.46 |
| UPMC Northwest | Seneca | $2,663.40 | $378.73 – $3,773.15 |
| UPMC Somerset | Somerset | $2,029.20 | $292.74 – $2,536.50 |
| UPMC Williamsport | Williamsport | $2,816.40 | $325.84 – $3,755.20 |