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Chromo high res and frag x - sendout at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$3,739.80
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.
$6,233.00
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.
$47.55 with UPMC Health Plan vs $1,005.30 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 | $47.55 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $50.19 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $52.47 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $56.38 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $57.04 | ↓ -98% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $58.53 | ↓ -98% |
| Aetna of PA | Medicare | $59.89 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $61.60 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.60 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.60 | ↓ -98% |
| Aetna | Medicare | $62.74 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $67.67 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $72.20 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $77.76 | ↓ -98% |
| UPMC Health Plan | Commercial | $110.02 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $153.35 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $231.59 | ↓ -94% |
| Highmark BCBS of PA | Managed Care | $310.13 | ↓ -92% |
| Aetna | Neighborhood Network | $311.64 | ↓ -92% |
| Aetna | Home Depot Employer Group | $340.13 | ↓ -91% |
| Aetna | NBR ASO/FI | $346.27 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $366.05 | ↓ -90% |
| Cigna | New Business ASO | $379.78 | ↓ -90% |
| Bravo | Medicare | $390.95 | ↓ -90% |
| UPMC Health Plan | CHIP | $398.78 | ↓ -89% |
| Aetna | EBR FI | $424.46 | ↓ -89% |
| Cigna | Commercial | $446.80 | ↓ -88% |
| Aetna | EBR ASO | $446.80 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Indemnity | $490.23 | ↓ -87% |
| Coventry/First Health | Commercial | $491.48 | ↓ -87% |
| InterGroup | PPO | $558.50 | ↓ -85% |
| Cigna Behavioral Health | Commercial | $670.20 | ↓ -82% |
| Private Health Care Systems | PPO | $837.75 | ↓ -78% |
| InterGroup | Approved National Affiliated PPO Business | $893.60 | ↓ -76% |
| American Healthcare Group | Commercial | $893.60 | ↓ -76% |
| National Provider Network | PPO | $915.94 | ↓ -76% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,005.30 | ↓ -73% |
| Health Payors Organization | Commercial | $1,005.30 | ↓ -73% |
Visitor-reported prices
Comments
Chromo high res and frag x - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,067.40 | $50.19 – $895.90 |
| UPMC Presbyterian | Pittsburgh | $3,739.80 | $45.63 – $949.45 |
| UPMC St. Margaret | Pittsburgh | $3,739.80 | $49.25 – $949.45 |
| UPMC Muncy | Muncy | $688.80 | $50.19 – $808.80 |
| UPMC Northwest | Seneca | $3,739.80 | $50.19 – $674.05 |
| UPMC Somerset | Somerset | $329.40 | $50.19 – $411.75 |
| UPMC Wellsboro | Wellsboro | $770.40 | $45.63 – $836.10 |
| UPMC Williamsport | Williamsport | $3,704.40 | $50.19 – $860.00 |