healthcosts.net
Cholinesterase at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$79.80
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.
$133.00
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.
$6.56 with UPMC Health Plan vs $99.90 with Health Payors Organization — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $6.56 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $6.60 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $6.90 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $7.77 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $7.87 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $8.08 | ↓ -90% |
| Aetna of PA | Medicare | $8.26 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $8.50 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.50 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.50 | ↓ -89% |
| Aetna | Medicare | $8.66 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $8.90 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $9.49 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10.23 | ↓ -87% |
| UPMC Health Plan | Commercial | $14.71 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $21.41 | ↓ -73% |
| Aetna | Neighborhood Network | $30.97 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $32.34 | ↓ -59% |
| Aetna | Home Depot Employer Group | $33.80 | ↓ -58% |
| Aetna | NBR ASO/FI | $34.41 | ↓ -57% |
| Cigna | New Business ASO | $37.74 | ↓ -53% |
| Bravo | Medicare | $38.85 | ↓ -51% |
| Aetna | EBR FI | $42.18 | ↓ -47% |
| Highmark BCBS of PA | Managed Care | $43.31 | ↓ -46% |
| Cigna | Commercial | $44.40 | ↓ -44% |
| Aetna | EBR ASO | $44.40 | ↓ -44% |
| Coventry/First Health | Commercial | $48.84 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $51.11 | ↓ -36% |
| UPMC Health Plan | CHIP | $53.31 | ↓ -33% |
| InterGroup | PPO | $55.50 | ↓ -30% |
| Cigna Behavioral Health | Commercial | $66.60 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $68.45 | ↓ -14% |
| Private Health Care Systems | PPO | $83.25 | ↑ +4% |
| InterGroup | Approved National Affiliated PPO Business | $88.80 | ↑ +11% |
| American Healthcare Group | Commercial | $88.80 | ↑ +11% |
| National Provider Network | PPO | $91.02 | ↑ +14% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $99.90 | ↑ +25% |
| Health Payors Organization | Commercial | $99.90 | ↑ +25% |
Visitor-reported prices
Comments
Cholinesterase at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $209.40 | $6.60 – $296.65 |
| UPMC Presbyterian | Pittsburgh | $223.20 | $6.00 – $316.20 |
| UPMC St. Margaret | Pittsburgh | $214.80 | $6.60 – $304.30 |
| UPMC Somerset | Somerset | $40.80 | $6.60 – $51.00 |
| UPMC Wellsboro | Wellsboro | $103.20 | $6.00 – $154.80 |
| UPMC Williamsport | Williamsport | $103.20 | $6.60 – $137.60 |