healthcosts.net
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$2,395.20
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.
?
What you pay up front if you don't use insurance.
$3,992.00
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.
$141.48 with UPMC Health Plan vs $3,608.86 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $141.48 | ↓ -94% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $174.17 | ↓ -93% |
| Aetna of PA | Medicare | $178.21 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $183.30 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $183.30 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $183.30 | ↓ -92% |
| Aetna | Medicare | $186.69 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $374.27 | ↓ -84% |
| United Healthcare Community Plan for Families | PA Medicaid | $391.29 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $504.59 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $538.41 | ↓ -78% |
| UPMC Health Plan | Commercial | $542.29 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $579.85 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $634.33 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $967.94 | ↓ -60% |
| Bravo | Medicare | $998.00 | ↓ -58% |
| Aetna | Neighborhood Network | $1,113.77 | ↓ -53% |
| Aetna | Home Depot Employer Group | $1,215.56 | ↓ -49% |
| Aetna | NBR ASO/FI | $1,237.52 | ↓ -48% |
| Cigna | New Business ASO | $1,357.28 | ↓ -43% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,428.65 | ↓ -40% |
| Aetna | EBR FI | $1,516.96 | ↓ -37% |
| Cigna | Commercial | $1,596.80 | ↓ -33% |
| Aetna | EBR ASO | $1,596.80 | ↓ -33% |
| Coventry/First Health | Commercial | $1,756.48 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $1,913.17 | ↓ -20% |
| UPMC Health Plan | CHIP | $1,965.60 | ↓ -18% |
| InterGroup | PPO | $1,996.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $2,395.20 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,694.66 | ↑ +13% |
| Private Health Care Systems | PPO | $2,994.00 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $3,193.60 | ↑ +33% |
| American Healthcare Group | Commercial | $3,193.60 | ↑ +33% |
| National Provider Network | PPO | $3,273.44 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $3,592.80 | ↑ +50% |
| Health Payors Organization | Commercial | $3,592.80 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,608.86 | ↑ +51% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $7,887.60 | $157.72 – $11,174.10 |
| UPMC Presbyterian | Pittsburgh | $3,489.60 | $183.30 – $4,943.60 |
| UPMC St. Margaret | Pittsburgh | $2,036.40 | $146.54 – $2,884.90 |
| UPMC Muncy | Muncy | $4,764.00 | $292.30 – $6,352.00 |
| UPMC Northwest | Seneca | $2,020.20 | $153.92 – $2,861.95 |
| UPMC Somerset | Somerset | $1,424.40 | $168.02 – $831.10 |
| UPMC Wellsboro | Wellsboro | $5,761.60 | $292.30 – $6,481.80 |
| UPMC Williamsport | Williamsport | $4,764.00 | $171.38 – $6,352.00 |