healthcosts.net
Ghs ot group caregiver training at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$44.40
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.
$74.00
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.
$7.81 with Highmark BCBS of PA vs $66.60 with Multiplan — 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 | $7.81 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $11.79 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $12.00 | ↓ -73% |
| Highmark BCBS of PA | Managed Care | $15.79 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Indemnity | $16.08 | ↓ -64% |
| Aetna | Medicare | $18.50 | ↓ -58% |
| Aetna | Neighborhood Network | $20.65 | ↓ -53% |
| Aetna | Home Depot Employer Group | $22.53 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $22.65 | ↓ -49% |
| Aetna | NBR ASO/FI | $22.94 | ↓ -48% |
| Cigna | New Business ASO | $25.16 | ↓ -43% |
| Bravo | Medicare | $25.90 | ↓ -42% |
| UPMC Health Plan | CHIP | $25.90 | ↓ -42% |
| Aetna | EBR FI | $28.12 | ↓ -37% |
| Aetna | EBR ASO | $29.60 | ↓ -33% |
| Cigna | Commercial | $29.60 | ↓ -33% |
| Coventry/First Health | Commercial | $32.56 | ↓ -27% |
| UPMC Health Plan | Commercial | $33.30 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $37.00 | ↓ -17% |
| InterGroup | PPO | $37.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.70 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $44.40 | ↑ +0% |
| Private Health Care Systems | PPO | $55.50 | ↑ +25% |
| American Healthcare Group | Commercial | $59.20 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $59.20 | ↑ +33% |
| National Provider Network | PPO | $60.68 | ↑ +37% |
| Health Payors Organization | Commercial | $66.60 | ↑ +50% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $66.60 | ↑ +50% |
Visitor-reported prices
Comments
Ghs ot group caregiver training at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $44.40 | $7.88 – $62.90 |
| UPMC Northwest | Seneca | $44.40 | $18.50 – $62.90 |
| UPMC Williamsport | Williamsport | $43.20 | $19.44 – $57.60 |