healthcosts.net
Clip ligating vesolock lg at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$1,453.20
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.
$2,422.00
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.
$147.50 with Aetna vs $1,387.74 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 | $147.50 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $152.64 | ↓ -89% |
| Aetna | Neighborhood Network | $164.61 | ↓ -89% |
| Aetna | Home Depot Employer Group | $179.66 | ↓ -88% |
| Aetna | NBR ASO/FI | $182.90 | ↓ -87% |
| Cigna | New Business ASO | $200.60 | ↓ -86% |
| Bravo | Medicare | $206.50 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $209.88 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $215.16 | ↓ -85% |
| Aetna | EBR FI | $224.20 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $235.49 | ↓ -84% |
| Aetna | EBR ASO | $236.00 | ↓ -84% |
| Cigna | Commercial | $236.00 | ↓ -84% |
| Coventry/First Health | Commercial | $259.60 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $295.00 | ↓ -80% |
| InterGroup | PPO | $295.00 | ↓ -80% |
| Cigna Behavioral Health | Commercial | $354.00 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $355.64 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $362.11 | ↓ -75% |
| Private Health Care Systems | PPO | $442.50 | ↓ -70% |
| American Healthcare Group | Commercial | $472.00 | ↓ -68% |
| InterGroup | Approved National Affiliated PPO Business | $472.00 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $476.25 | ↓ -67% |
| National Provider Network | PPO | $483.80 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Indemnity | $484.89 | ↓ -67% |
| Health Payors Organization | Commercial | $531.00 | ↓ -63% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $531.00 | ↓ -63% |
| UPMC Health Plan | Commercial | $1,095.82 | ↓ -25% |
| UPMC Health Plan | CHIP | $1,387.74 | ↓ -5% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Clip ligating vesolock lg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,459.80 | $174.00 – $2,013.78 |
| UPMC Presbyterian | Pittsburgh | $6,953.40 | $150.12 – $2,243.72 |
| UPMC St. Margaret | Pittsburgh | $1,806.60 | $45.50 – $1,702.85 |
| UPMC Muncy | Muncy | $608.40 | $152.10 – $912.60 |
| UPMC Northwest | Seneca | $699.00 | $168.50 – $1,679.28 |
| UPMC Somerset | Somerset | $1,380.60 | $105.54 – $831.20 |
| UPMC Wellsboro | Wellsboro | $736.00 | $165.60 – $828.00 |
| UPMC Williamsport | Williamsport | $925.20 | $18.09 – $172.60 |