healthcosts.net
Clamp isol transpolr 5mmx6.5cm transpolar at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$3,909.60
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.
$6,516.00
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.
$777.00 with Aetna vs $4,180.96 with UPMC Health Plan — 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 | $777.00 | ↓ -80% |
| Aetna | Neighborhood Network | $867.13 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $903.51 | ↓ -77% |
| Aetna | Home Depot Employer Group | $946.39 | ↓ -76% |
| Aetna | NBR ASO/FI | $963.48 | ↓ -75% |
| Cigna | New Business ASO | $1,056.72 | ↓ -73% |
| Bravo | Medicare | $1,087.80 | ↓ -72% |
| Aetna | EBR FI | $1,181.04 | ↓ -70% |
| Aetna | EBR ASO | $1,243.20 | ↓ -68% |
| Cigna | Commercial | $1,243.20 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,364.50 | ↓ -65% |
| Coventry/First Health | Commercial | $1,367.52 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,389.29 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,554.00 | ↓ -60% |
| InterGroup | PPO | $1,554.00 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,709.40 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $1,827.23 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,860.38 | ↓ -52% |
| Cigna Behavioral Health | Commercial | $1,864.80 | ↓ -52% |
| Private Health Care Systems | PPO | $2,331.00 | ↓ -40% |
| American Healthcare Group | Commercial | $2,486.40 | ↓ -36% |
| InterGroup | Approved National Affiliated PPO Business | $2,486.40 | ↓ -36% |
| National Provider Network | PPO | $2,548.56 | ↓ -35% |
| Health Payors Organization | Commercial | $2,797.20 | ↓ -28% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,797.20 | ↓ -28% |
| UPMC Health Plan | Commercial | $3,301.47 | ↓ -16% |
| UPMC Health Plan | CHIP | $4,180.96 | ↑ +7% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Clamp isol transpolr 5mmx6.5cm transpolar at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $19,246.20 | $564.00 – $6,067.10 |
| UPMC Presbyterian | Pittsburgh | $25,185.60 | $54.00 – $6,759.87 |
| UPMC Muncy | Muncy | $1,736.40 | $434.10 – $2,604.60 |
| UPMC Somerset | Somerset | $6,678.60 | $894.37 – $2,504.25 |
| UPMC Wellsboro | Wellsboro | $2,100.00 | $472.50 – $2,362.50 |
| UPMC Williamsport | Williamsport | $4,416.60 | $781.38 – $2,604.60 |