healthcosts.net
Connector tis 2x10mm at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$5,560.80
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.
?
What you pay up front if you don't use insurance.
$9,268.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,411.68 with Highmark Wholecare (prev Gateway) vs $5,293.80 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $1,411.68 | ↓ -75% |
| Aetna | Medicare | $1,470.50 | ↓ -74% |
| Aetna | Neighborhood Network | $1,641.08 | ↓ -70% |
| Aetna | Home Depot Employer Group | $1,791.07 | ↓ -68% |
| Aetna | NBR ASO/FI | $1,823.42 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,941.06 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,989.88 | ↓ -64% |
| Cigna | New Business ASO | $1,999.88 | ↓ -64% |
| UPMC Health Plan | CHIP | $2,058.70 | ↓ -63% |
| Aetna | EBR FI | $2,235.16 | ↓ -60% |
| Aetna | EBR ASO | $2,352.80 | ↓ -58% |
| Cigna | Commercial | $2,352.80 | ↓ -58% |
| Coventry/First Health | Commercial | $2,588.08 | ↓ -53% |
| UPMC Health Plan | Commercial | $2,646.90 | ↓ -52% |
| Highmark BCBS of PA | Managed Care | $2,699.84 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,699.84 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,805.71 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,805.71 | ↓ -50% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,941.00 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,941.00 | ↓ -47% |
| InterGroup | PPO | $2,941.00 | ↓ -47% |
| Cigna Behavioral Health | Commercial | $3,529.20 | ↓ -37% |
| Private Health Care Systems | PPO | $4,411.50 | ↓ -21% |
| American Healthcare Group | Commercial | $4,705.60 | ↓ -15% |
| InterGroup | Approved National Affiliated PPO Business | $4,705.60 | ↓ -15% |
| National Provider Network | PPO | $4,823.24 | ↓ -13% |
| Health Payors Organization | Commercial | $5,293.80 | ↓ -5% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $5,293.80 | ↓ -5% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
Comments
Connector tis 2x10mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $7,037.40 | $1,220.56 – $4,715.80 |
| UPMC Presbyterian | Pittsburgh | $9,382.20 | $941.16 – $6,666.55 |
| UPMC St. Margaret | Pittsburgh | $5,574.60 | $1,176.40 – $4,999.70 |