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Cath epdrl brevi-stf 12in .043 at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$3,607.80
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.
$6,013.00
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.
$268.25 with Aetna vs $965.70 with Multiplan — 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 | $268.25 | ↓ -93% |
| Aetna | Neighborhood Network | $299.37 | ↓ -92% |
| Aetna | Home Depot Employer Group | $326.73 | ↓ -91% |
| Aetna | NBR ASO/FI | $332.63 | ↓ -91% |
| Cigna | New Business ASO | $364.82 | ↓ -90% |
| Bravo | Medicare | $375.55 | ↓ -90% |
| Aetna | EBR FI | $407.74 | ↓ -89% |
| Aetna | EBR ASO | $429.20 | ↓ -88% |
| Cigna | Commercial | $429.20 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $430.41 | ↓ -88% |
| Coventry/First Health | Commercial | $472.12 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $535.44 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $536.50 | ↓ -85% |
| InterGroup | PPO | $536.50 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $590.15 | ↓ -84% |
| Cigna Behavioral Health | Commercial | $643.80 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $650.01 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $661.82 | ↓ -82% |
| UPMC Health Plan | Commercial | $721.18 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $754.75 | ↓ -79% |
| Private Health Care Systems | PPO | $804.75 | ↓ -78% |
| American Healthcare Group | Commercial | $858.40 | ↓ -76% |
| InterGroup | Approved National Affiliated PPO Business | $858.40 | ↓ -76% |
| Highmark BCBS of PA | Managed Care | $870.44 | ↓ -76% |
| National Provider Network | PPO | $879.86 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Indemnity | $886.23 | ↓ -75% |
| UPMC Health Plan | CHIP | $913.30 | ↓ -75% |
| Health Payors Organization | Commercial | $965.70 | ↓ -73% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $965.70 | ↓ -73% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath epdrl brevi-stf 12in .043 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $276.60 | $115.25 – $1,325.32 |
| UPMC Presbyterian | Pittsburgh | $7,204.80 | $378.96 – $1,963.50 |
| UPMC Muncy | Muncy | $2,166.60 | $541.65 – $3,249.90 |
| UPMC Williamsport | Williamsport | $1,297.80 | $584.01 – $1,946.70 |