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Cath ablt clsfast 7fx100cmx at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$6,990.00
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.
$11,650.00
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.
$250.50 with Aetna vs $4,098.86 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 |
|---|---|---|---|
| Aetna | Medicare | $250.50 | ↓ -96% |
| Aetna | Neighborhood Network | $279.56 | ↓ -96% |
| Aetna | Home Depot Employer Group | $305.11 | ↓ -96% |
| Aetna | NBR ASO/FI | $310.62 | ↓ -96% |
| Cigna | New Business ASO | $340.68 | ↓ -95% |
| Bravo | Medicare | $350.70 | ↓ -95% |
| Aetna | EBR FI | $380.76 | ↓ -95% |
| Aetna | EBR ASO | $400.80 | ↓ -94% |
| Cigna | Commercial | $400.80 | ↓ -94% |
| Coventry/First Health | Commercial | $440.88 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $501.00 | ↓ -93% |
| InterGroup | PPO | $501.00 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $551.10 | ↓ -92% |
| Cigna Behavioral Health | Commercial | $601.20 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $642.46 | ↓ -91% |
| Private Health Care Systems | PPO | $751.50 | ↓ -89% |
| American Healthcare Group | Commercial | $801.60 | ↓ -89% |
| InterGroup | Approved National Affiliated PPO Business | $801.60 | ↓ -89% |
| National Provider Network | PPO | $821.64 | ↓ -88% |
| Health Payors Organization | Commercial | $901.80 | ↓ -87% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $901.80 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $970.25 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $987.88 | ↓ -86% |
| Highmark BCBS of PA | Managed Care | $1,299.29 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,322.86 | ↓ -81% |
| UPMC Health Plan | Commercial | $3,236.64 | ↓ -54% |
| UPMC Health Plan | CHIP | $4,098.86 | ↓ -41% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath ablt clsfast 7fx100cmx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,457.00 | $638.00 – $5,947.96 |
| UPMC Presbyterian | Pittsburgh | $8,981.40 | $648.57 – $6,627.13 |
| UPMC St. Margaret | Pittsburgh | $8,284.20 | $572.75 – $5,029.60 |
| UPMC Muncy | Muncy | $3,024.00 | $756.00 – $4,536.00 |
| UPMC Northwest | Seneca | $1,363.20 | $477.00 – $4,959.99 |
| UPMC Somerset | Somerset | $2,271.00 | $635.96 – $2,838.75 |
| UPMC Wellsboro | Wellsboro | $3,656.80 | $822.78 – $4,113.90 |
| UPMC Williamsport | Williamsport | $3,024.00 | $620.19 – $2,067.30 |