Gastro/jejuno tube, std at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$702.60
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.
$1,171.00
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.
$13.50 with Aetna vs $184.30 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 |
|---|---|---|---|
| Aetna | Medicare | $13.50 | ↓ -98% |
| Aetna | Neighborhood Network | $15.07 | ↓ -98% |
| Aetna | Home Depot Employer Group | $16.44 | ↓ -98% |
| Aetna | NBR ASO/FI | $16.74 | ↓ -98% |
| Cigna | New Business ASO | $18.36 | ↓ -97% |
| Bravo | Medicare | $18.90 | ↓ -97% |
| Aetna | EBR FI | $20.52 | ↓ -97% |
| Aetna | EBR ASO | $21.60 | ↓ -97% |
| Cigna | Commercial | $21.60 | ↓ -97% |
| Coventry/First Health | Commercial | $23.76 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $27.00 | ↓ -96% |
| InterGroup | PPO | $27.00 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $29.70 | ↓ -96% |
| Cigna Behavioral Health | Commercial | $32.40 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $38.64 | ↓ -95% |
| Private Health Care Systems | PPO | $40.50 | ↓ -94% |
| American Healthcare Group | Commercial | $43.20 | ↓ -94% |
| InterGroup | Approved National Affiliated PPO Business | $43.20 | ↓ -94% |
| National Provider Network | PPO | $44.28 | ↓ -94% |
| Health Payors Organization | Commercial | $48.60 | ↓ -93% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $48.60 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $54.47 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $62.02 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $63.94 | ↓ -91% |
| Highmark BCBS of PA | Managed Care - Social Mission | $96.57 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $98.32 | ↓ -86% |
| Highmark BCBS of PA | Managed Care | $129.32 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Indemnity | $131.66 | ↓ -81% |
| UPMC Health Plan | Commercial | $145.53 | ↓ -79% |
| UPMC Health Plan | CHIP | $184.30 | ↓ -74% |
Visitor-reported prices
Comments
Gastro/jejuno tube, std at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $1,272.60 | $26.82 – $184.30 |
| UPMC Passavant-McCandless | Pittsburgh | $1,145.40 | $62.02 – $267.44 |
| UPMC Presbyterian | Pittsburgh | $2,332.20 | $36.70 – $297.97 |
| UPMC St. Margaret | Pittsburgh | $1,114.80 | $62.02 – $226.14 |
| UPMC Altoona | Altoona | $790.80 | $11.00 – $184.30 |
| UPMC East | Monroeville | $1,269.60 | $23.75 – $426.93 |
| UPMC Hamot | Erie | $1,338.60 | $62.02 – $63.94 |
| UPMC Northwest | Seneca | $526.20 | $62.02 – $223.01 |