healthcosts.net
Cap nerve 2x15mm at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$5,785.80
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.
$9,643.00
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.
$275.52 with Highmark Wholecare (prev Gateway) vs $3,704.74 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 | $275.52 | ↓ -95% |
| Aetna | Medicare | $287.00 | ↓ -95% |
| Aetna | Neighborhood Network | $320.29 | ↓ -94% |
| Aetna | Home Depot Employer Group | $349.57 | ↓ -94% |
| Aetna | NBR ASO/FI | $355.88 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $378.84 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $388.37 | ↓ -93% |
| Cigna | New Business ASO | $390.32 | ↓ -93% |
| Aetna | EBR FI | $436.24 | ↓ -92% |
| Aetna | EBR ASO | $459.20 | ↓ -92% |
| Cigna | Commercial | $459.20 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $499.63 | ↓ -91% |
| Coventry/First Health | Commercial | $505.12 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $574.00 | ↓ -90% |
| InterGroup | PPO | $574.00 | ↓ -90% |
| Cigna Behavioral Health | Commercial | $688.80 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $754.55 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $768.26 | ↓ -87% |
| Private Health Care Systems | PPO | $861.00 | ↓ -85% |
| American Healthcare Group | Commercial | $918.40 | ↓ -84% |
| InterGroup | Approved National Affiliated PPO Business | $918.40 | ↓ -84% |
| National Provider Network | PPO | $941.36 | ↓ -84% |
| Highmark BCBS of PA | Managed Care | $1,010.44 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,028.77 | ↓ -82% |
| Health Payors Organization | Commercial | $1,033.20 | ↓ -82% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,033.20 | ↓ -82% |
| UPMC Health Plan | Commercial | $2,925.42 | ↓ -49% |
| UPMC Health Plan | CHIP | $3,704.74 | ↓ -36% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
Comments
Cap nerve 2x15mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,136.00 | $73.92 – $5,376.04 |
| UPMC Presbyterian | Pittsburgh | $10,847.40 | $78.96 – $5,989.90 |
| UPMC St. Margaret | Pittsburgh | $1,620.00 | $189.40 – $4,545.98 |
| UPMC Muncy | Muncy | $792.00 | $54.00 – $324.00 |
| UPMC Northwest | Seneca | $706.20 | $294.25 – $4,483.06 |
| UPMC Wellsboro | Wellsboro | $2,275.20 | $58.86 – $294.30 |
| UPMC Williamsport | Williamsport | $3,405.60 | $72.00 – $324.00 |