healthcosts.net
Cap trach decann 15mm at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$1,833.60
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.
?
What you pay up front if you don't use insurance.
$3,056.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$190.80 with Highmark Wholecare (prev Gateway) vs $3,673.43 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $190.80 | ↓ -90% |
| Aetna | Medicare | $198.75 | ↓ -89% |
| Aetna | Neighborhood Network | $221.81 | ↓ -88% |
| Aetna | Home Depot Employer Group | $242.08 | ↓ -87% |
| Aetna | NBR ASO/FI | $246.45 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $262.35 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $268.95 | ↓ -85% |
| Cigna | New Business ASO | $270.30 | ↓ -85% |
| Aetna | EBR FI | $302.10 | ↓ -84% |
| Aetna | EBR ASO | $318.00 | ↓ -83% |
| Cigna | Commercial | $318.00 | ↓ -83% |
| Bravo | Medicare | $322.00 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $336.33 | ↓ -82% |
| Coventry/First Health | Commercial | $349.80 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $397.50 | ↓ -78% |
| InterGroup | PPO | $397.50 | ↓ -78% |
| Cigna Behavioral Health | Commercial | $477.00 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $507.93 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $517.16 | ↓ -72% |
| Private Health Care Systems | PPO | $596.25 | ↓ -67% |
| American Healthcare Group | Commercial | $636.00 | ↓ -65% |
| InterGroup | Approved National Affiliated PPO Business | $636.00 | ↓ -65% |
| National Provider Network | PPO | $651.90 | ↓ -64% |
| Highmark BCBS of PA | Managed Care | $680.19 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Indemnity | $692.53 | ↓ -62% |
| Health Payors Organization | Commercial | $715.50 | ↓ -61% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $715.50 | ↓ -61% |
| UPMC Health Plan | Commercial | $2,900.70 | ↑ +58% |
| UPMC Health Plan | CHIP | $3,673.43 | ↑ +100% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cap trach decann 15mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,708.20 | $131.25 – $5,330.61 |
| UPMC Presbyterian | Pittsburgh | $9,624.00 | $50.88 – $5,939.28 |
| UPMC St. Margaret | Pittsburgh | $1,363.20 | $159.00 – $4,507.56 |
| UPMC Muncy | Muncy | $931.80 | $99.90 – $599.40 |
| UPMC Northwest | Seneca | $1,444.80 | $179.00 – $4,445.18 |
| UPMC Somerset | Somerset | $1,737.00 | $51.80 – $2,200.25 |
| UPMC Wellsboro | Wellsboro | $1,127.20 | $83.16 – $415.80 |
| UPMC Williamsport | Williamsport | $1,842.60 | $141.80 – $600.30 |