healthcosts.net
Controller infinity pt dbs at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$4,257.00
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.
$7,095.00
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.
$76.32 with Highmark Wholecare (prev Gateway) vs $4,897.26 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $76.32 | ↓ -98% |
| Aetna | Medicare | $79.50 | ↓ -98% |
| Aetna | Neighborhood Network | $88.72 | ↓ -98% |
| Aetna | Home Depot Employer Group | $96.83 | ↓ -98% |
| Aetna | NBR ASO/FI | $98.58 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $104.94 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $107.58 | ↓ -97% |
| Cigna | New Business ASO | $108.12 | ↓ -97% |
| Aetna | EBR FI | $120.84 | ↓ -97% |
| Aetna | EBR ASO | $127.20 | ↓ -97% |
| Cigna | Commercial | $127.20 | ↓ -97% |
| Coventry/First Health | Commercial | $139.92 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $159.00 | ↓ -96% |
| InterGroup | PPO | $159.00 | ↓ -96% |
| Cigna Behavioral Health | Commercial | $190.80 | ↓ -96% |
| Private Health Care Systems | PPO | $238.50 | ↓ -94% |
| American Healthcare Group | Commercial | $254.40 | ↓ -94% |
| InterGroup | Approved National Affiliated PPO Business | $254.40 | ↓ -94% |
| National Provider Network | PPO | $260.76 | ↓ -94% |
| Health Payors Organization | Commercial | $286.20 | ↓ -93% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $286.20 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $880.94 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,330.42 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,354.59 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $1,781.60 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,813.92 | ↓ -57% |
| Bravo | Medicare | $2,483.25 | ↓ -42% |
| UPMC Health Plan | Commercial | $3,867.08 | ↓ -9% |
| UPMC Health Plan | CHIP | $4,897.26 | ↑ +15% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Controller infinity pt dbs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,451.00 | $69.96 – $7,106.53 |
| UPMC St. Margaret | Pittsburgh | $3,235.80 | $255.20 – $6,009.28 |
| UPMC Muncy | Muncy | $4,678.20 | $186.60 – $1,119.60 |
| UPMC Northwest | Seneca | $3,636.00 | $346.00 – $5,926.12 |
| UPMC Williamsport | Williamsport | $4,347.00 | $584.00 – $2,628.00 |