healthcosts.net
Cath access del ds spyscop 2.0 at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$7,057.80
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.
?
What you pay up front if you don't use insurance.
$11,763.00
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.
$2,940.75 with Aetna vs $10,586.70 with Multiplan — 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 |
|---|---|---|---|
| Aetna | Medicare | $2,940.75 | ↓ -58% |
| Aetna | Neighborhood Network | $3,281.88 | ↓ -53% |
| Aetna | Home Depot Employer Group | $3,581.83 | ↓ -49% |
| Aetna | NBR ASO/FI | $3,646.53 | ↓ -48% |
| Cigna | New Business ASO | $3,999.42 | ↓ -43% |
| Bravo | Medicare | $4,117.05 | ↓ -42% |
| UPMC Health Plan | CHIP | $4,117.05 | ↓ -42% |
| Aetna | EBR FI | $4,469.94 | ↓ -37% |
| Aetna | EBR ASO | $4,705.20 | ↓ -33% |
| Cigna | Commercial | $4,705.20 | ↓ -33% |
| Coventry/First Health | Commercial | $5,175.72 | ↓ -27% |
| UPMC Health Plan | Commercial | $5,293.35 | ↓ -25% |
| Highmark BCBS of PA | Managed Care | $5,399.22 | ↓ -23% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,399.22 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,610.95 | ↓ -21% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,610.95 | ↓ -21% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5,881.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,881.50 | ↓ -17% |
| InterGroup | PPO | $5,881.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,469.65 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $7,057.80 | ↑ +0% |
| Private Health Care Systems | PPO | $8,822.25 | ↑ +25% |
| American Healthcare Group | Commercial | $9,410.40 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $9,410.40 | ↑ +33% |
| National Provider Network | PPO | $9,645.66 | ↑ +37% |
| Health Payors Organization | Commercial | $10,586.70 | ↑ +50% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $10,586.70 | ↑ +50% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath access del ds spyscop 2.0 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,926.20 | $2,469.25 – $8,395.45 |
| UPMC Presbyterian | Pittsburgh | $9,409.80 | $2,822.94 – $13,330.55 |
| UPMC Williamsport | Williamsport | $6,411.60 | $2,885.22 – $9,617.40 |