healthcosts.net
Echo guidance radiotherapy at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$2,718.00
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.
$4,530.00
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.
$623.24 with Highmark BCBS of PA vs $4,077.00 with Multiplan — 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 BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $623.24 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $833.01 | ↓ -69% |
| UPMC Health Plan | Commercial | $974.64 | ↓ -64% |
| Aetna | Medicare | $1,132.50 | ↓ -58% |
| Bravo | Medicare | $1,132.50 | ↓ -58% |
| Aetna | Neighborhood Network | $1,263.87 | ↓ -54% |
| Aetna | Home Depot Employer Group | $1,379.38 | ↓ -49% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,403.66 | ↓ -48% |
| Aetna | NBR ASO/FI | $1,404.30 | ↓ -48% |
| Cigna | New Business ASO | $1,540.20 | ↓ -43% |
| Aetna | EBR FI | $1,721.40 | ↓ -37% |
| Aetna | EBR ASO | $1,812.00 | ↓ -33% |
| Cigna | Commercial | $1,812.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $1,879.70 | ↓ -31% |
| UPMC Health Plan | CHIP | $1,962.24 | ↓ -28% |
| Coventry/First Health | Commercial | $1,993.20 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,265.00 | ↓ -17% |
| InterGroup | PPO | $2,265.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,491.50 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,647.52 | ↓ -3% |
| Cigna Behavioral Health | Commercial | $2,718.00 | ↑ +0% |
| Private Health Care Systems | PPO | $3,397.50 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,545.73 | ↑ +30% |
| American Healthcare Group | Commercial | $3,624.00 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $3,624.00 | ↑ +33% |
| National Provider Network | PPO | $3,714.60 | ↑ +37% |
| Health Payors Organization | Commercial | $4,077.00 | ↑ +50% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $4,077.00 | ↑ +50% |
Visitor-reported prices
Comments
Echo guidance radiotherapy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,412.80 | $629.17 – $4,834.80 |
| UPMC Presbyterian | Pittsburgh | $3,427.80 | $20.09 – $4,856.05 |
| UPMC St. Margaret | Pittsburgh | $1,704.00 | $629.17 – $2,414.00 |
| UPMC Muncy | Muncy | $2,199.00 | $21.43 – $2,932.00 |
| UPMC Northwest | Seneca | $3,656.40 | $728.51 – $5,179.90 |
| UPMC Wellsboro | Wellsboro | $2,659.20 | $21.43 – $2,991.60 |