healthcosts.net
Chylomicron screen, bf - sendout at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$384.00
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.
$640.00
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.
$51.27 with UPMC Health Plan vs $574.20 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 | $51.27 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $60.78 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $61.50 | ↓ -84% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $63.11 | ↓ -84% |
| Aetna of PA | Medicare | $64.58 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $66.42 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $66.42 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $66.42 | ↓ -83% |
| Aetna | Medicare | $67.65 | ↓ -82% |
| UPMC Health Plan | Commercial | $72.99 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $93.39 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $141.03 | ↓ -63% |
| Aetna | Neighborhood Network | $178.00 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $188.86 | ↓ -51% |
| Aetna | Home Depot Employer Group | $194.27 | ↓ -49% |
| Aetna | NBR ASO/FI | $197.78 | ↓ -48% |
| Cigna | New Business ASO | $216.92 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $222.91 | ↓ -42% |
| Bravo | Medicare | $223.30 | ↓ -42% |
| Aetna | EBR FI | $242.44 | ↓ -37% |
| Cigna | Commercial | $255.20 | ↓ -34% |
| Aetna | EBR ASO | $255.20 | ↓ -34% |
| UPMC Health Plan | CHIP | $264.54 | ↓ -31% |
| Coventry/First Health | Commercial | $280.72 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Indemnity | $298.54 | ↓ -22% |
| InterGroup | PPO | $319.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $350.90 | ↓ -9% |
| Cigna Behavioral Health | Commercial | $382.80 | ↓ -0% |
| Private Health Care Systems | PPO | $478.50 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $510.40 | ↑ +33% |
| American Healthcare Group | Commercial | $510.40 | ↑ +33% |
| National Provider Network | PPO | $523.16 | ↑ +36% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $574.20 | ↑ +50% |
| Health Payors Organization | Commercial | $574.20 | ↑ +50% |
Visitor-reported prices
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Chylomicron screen, bf - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $370.20 | $57.15 – $524.45 |
| UPMC Presbyterian | Pittsburgh | $774.00 | $45.02 – $1,096.50 |
| UPMC St. Margaret | Pittsburgh | $322.20 | $53.10 – $456.45 |
| UPMC Muncy | Muncy | $334.80 | $48.03 – $446.40 |
| UPMC Northwest | Seneca | $526.20 | $55.77 – $745.45 |
| UPMC Somerset | Somerset | $222.60 | $43.15 – $278.25 |
| UPMC Wellsboro | Wellsboro | $404.80 | $48.03 – $455.40 |
| UPMC Williamsport | Williamsport | $334.80 | $48.03 – $446.40 |