healthcosts.net
Egd w/thrml txmnt gerd at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$7,006.20
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.
$11,677.00
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.
$549.83 with Highmark BCBS of PA vs $10,509.30 with Health Payors Organization — 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 BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $549.83 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $590.93 | ↓ -92% |
| Private Health Care Systems | PPO | $681.00 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,238.34 | ↓ -82% |
| Highmark BCBS of PA | Managed Care | $1,658.31 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,543.26 | ↓ -64% |
| UPMC Health Plan | Managed Medicare | $3,023.60 | ↓ -57% |
| Aetna | Neighborhood Network | $3,257.88 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,405.96 | ↓ -51% |
| Aetna | Home Depot Employer Group | $3,555.65 | ↓ -49% |
| Aetna | NBR ASO/FI | $3,619.87 | ↓ -48% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,722.19 | ↓ -47% |
| Aetna of PA | Medicare | $3,808.52 | ↓ -46% |
| AmeriHealth Caritas | Medicare | $3,917.33 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,917.33 | ↓ -44% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,917.33 | ↓ -44% |
| Cigna | New Business ASO | $3,970.18 | ↓ -43% |
| UPMC Health Plan | Commercial | $3,985.57 | ↓ -43% |
| Aetna | Medicare | $3,989.88 | ↓ -43% |
| Bravo | Medicare | $4,086.95 | ↓ -42% |
| Aetna | EBR FI | $4,437.26 | ↓ -37% |
| Cigna | Commercial | $4,670.80 | ↓ -33% |
| Aetna | EBR ASO | $4,670.80 | ↓ -33% |
| Coventry/First Health | Commercial | $5,137.88 | ↓ -27% |
| InterGroup | PPO | $5,838.50 | ↓ -17% |
| UPMC Health Plan | CHIP | $6,343.74 | ↓ -9% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,422.35 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $7,006.20 | ↑ +0% |
| InterGroup | Approved National Affiliated PPO Business | $9,341.60 | ↑ +33% |
| American Healthcare Group | Commercial | $9,341.60 | ↑ +33% |
| National Provider Network | PPO | $9,575.14 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $10,509.30 | ↑ +50% |
| Health Payors Organization | Commercial | $10,509.30 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Egd w/thrml txmnt gerd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $7,426.80 | $541.08 – $9,925.45 |
| UPMC Presbyterian | Pittsburgh | $9,339.60 | $555.07 – $13,231.10 |
| UPMC Wellsboro | Wellsboro | $7,896.80 | $541.08 – $8,883.90 |
| UPMC Williamsport | Williamsport | $6,529.80 | $541.08 – $8,706.40 |