healthcosts.net
Embolization s&i at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$3,427.80
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.
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What you pay up front if you don't use insurance.
$5,713.00
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.
$171.10 with UPMC Health Plan vs $6,279.39 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $171.10 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $178.88 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $230.68 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $246.14 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $265.09 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,103.74 | ↓ -68% |
| Aetna | Medicare | $1,428.25 | ↓ -58% |
| Bravo | Medicare | $1,428.25 | ↓ -58% |
| Aetna | Neighborhood Network | $1,593.93 | ↓ -53% |
| UPMC Health Plan | Commercial | $1,738.58 | ↓ -49% |
| Aetna | Home Depot Employer Group | $1,739.61 | ↓ -49% |
| Aetna | NBR ASO/FI | $1,771.03 | ↓ -48% |
| Cigna | New Business ASO | $1,942.42 | ↓ -43% |
| Aetna | EBR FI | $2,170.94 | ↓ -37% |
| Aetna | EBR ASO | $2,285.20 | ↓ -33% |
| Cigna | Commercial | $2,285.20 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $2,438.77 | ↓ -29% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,485.84 | ↓ -27% |
| Coventry/First Health | Commercial | $2,513.72 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,856.50 | ↓ -17% |
| InterGroup | PPO | $2,856.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $3,328.91 | ↓ -3% |
| Cigna Behavioral Health | Commercial | $3,427.80 | ↑ +0% |
| UPMC Health Plan | CHIP | $3,500.28 | ↑ +2% |
| Private Health Care Systems | PPO | $4,284.75 | ↑ +25% |
| American Healthcare Group | Commercial | $4,570.40 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $4,570.40 | ↑ +33% |
| National Provider Network | PPO | $4,684.66 | ↑ +37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,688.68 | ↑ +37% |
| Health Payors Organization | Commercial | $5,141.70 | ↑ +50% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $5,141.70 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,279.39 | ↑ +83% |
Visitor-reported prices
Comments
Embolization s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $9,112.80 | $171.10 – $12,909.80 |
| UPMC Presbyterian | Pittsburgh | $27,675.00 | $112.85 – $39,206.25 |
| UPMC St. Margaret | Pittsburgh | $3,970.80 | $171.10 – $5,625.30 |
| UPMC Somerset | Somerset | $5,940.60 | $108.15 – $7,425.75 |
| UPMC Williamsport | Williamsport | $3,495.60 | $120.37 – $4,660.80 |