healthcosts.net
Filter vena cava fem denali at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$7,182.60
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.
$11,971.00
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.
$911.78 with Highmark BCBS of PA vs $5,180.39 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 BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $911.78 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,376.99 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,402.00 | ↓ -80% |
| Aetna | Medicare | $1,423.50 | ↓ -80% |
| Aetna | Neighborhood Network | $1,588.63 | ↓ -78% |
| Aetna | Home Depot Employer Group | $1,733.82 | ↓ -76% |
| Aetna | NBR ASO/FI | $1,765.14 | ↓ -75% |
| Highmark BCBS of PA | Managed Care | $1,843.96 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,877.42 | ↓ -74% |
| Cigna | New Business ASO | $1,935.96 | ↓ -73% |
| Bravo | Medicare | $1,992.90 | ↓ -72% |
| Aetna | EBR FI | $2,163.72 | ↓ -70% |
| Aetna | EBR ASO | $2,277.60 | ↓ -68% |
| Cigna | Commercial | $2,277.60 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,286.96 | ↓ -68% |
| Coventry/First Health | Commercial | $2,505.36 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,847.00 | ↓ -60% |
| InterGroup | PPO | $2,847.00 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,131.70 | ↓ -56% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,223.66 | ↓ -55% |
| Cigna Behavioral Health | Commercial | $3,416.40 | ↓ -52% |
| UPMC Health Plan | Commercial | $4,090.66 | ↓ -43% |
| Private Health Care Systems | PPO | $4,270.50 | ↓ -41% |
| American Healthcare Group | Commercial | $4,555.20 | ↓ -37% |
| InterGroup | Approved National Affiliated PPO Business | $4,555.20 | ↓ -37% |
| National Provider Network | PPO | $4,669.08 | ↓ -35% |
| Health Payors Organization | Commercial | $5,124.60 | ↓ -29% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $5,124.60 | ↓ -29% |
| UPMC Health Plan | CHIP | $5,180.39 | ↓ -28% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Filter vena cava fem denali at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $6,039.00 | $894.08 – $7,517.40 |
| UPMC Presbyterian | Pittsburgh | $11,731.20 | $642.36 – $8,375.77 |
| UPMC St. Margaret | Pittsburgh | $5,179.20 | $750.20 – $6,356.71 |
| UPMC Northwest | Seneca | $5,991.00 | $1,345.25 – $6,268.74 |
| UPMC Somerset | Somerset | $4,507.80 | $463.80 – $3,102.87 |
| UPMC Williamsport | Williamsport | $4,242.60 | $1,054.62 – $3,515.40 |