healthcosts.net
Ghs sleep study unattended at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$90.00
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.
$150.00
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.
$41.85 with Aetna vs $1,489.53 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 |
|---|---|---|---|
| Aetna | Neighborhood Network | $41.85 | ↓ -54% |
| Aetna | Home Depot Employer Group | $45.67 | ↓ -49% |
| Aetna | NBR ASO/FI | $46.50 | ↓ -48% |
| Cigna | New Business ASO | $51.00 | ↓ -43% |
| Bravo | Medicare | $52.50 | ↓ -42% |
| Aetna | EBR FI | $57.00 | ↓ -37% |
| Cigna | Commercial | $60.00 | ↓ -33% |
| Aetna | EBR ASO | $60.00 | ↓ -33% |
| Coventry/First Health | Commercial | $66.00 | ↓ -27% |
| InterGroup | PPO | $75.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $90.00 | ↑ +0% |
| Private Health Care Systems | PPO | $112.50 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $120.00 | ↑ +33% |
| American Healthcare Group | Commercial | $120.00 | ↑ +33% |
| National Provider Network | PPO | $123.00 | ↑ +37% |
| UPMC Health Plan | Managed Medicare | $124.35 | ↑ +38% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $135.00 | ↑ +50% |
| Health Payors Organization | Commercial | $135.00 | ↑ +50% |
| UPMC Health Plan | Managed Medicaid | $137.07 | ↑ +52% |
| United Healthcare Community Plan for Families | PA Medicaid | $143.30 | ↑ +59% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $153.08 | ↑ +70% |
| Aetna of PA | Medicare | $156.63 | ↑ +74% |
| AmeriHealth Caritas | Medicare | $161.10 | ↑ +79% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.10 | ↑ +79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.10 | ↑ +79% |
| Aetna | Medicare | $164.09 | ↑ +82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $184.80 | ↑ +105% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $197.18 | ↑ +119% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $212.36 | ↑ +136% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $262.67 | ↑ +192% |
| UPMC Work Partners | Workers Comp | $337.65 | ↑ +275% |
| UPMC Health Plan | Commercial | $444.59 | ↑ +394% |
| UPMC Health Plan | CHIP | $563.02 | ↑ +526% |
| Highmark BCBS of PA | Managed Care - Social Mission | $591.58 | ↑ +557% |
| Highmark BCBS of PA | Managed Care | $792.21 | ↑ +780% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,112.22 | ↑ +1136% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,489.53 | ↑ +1555% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs sleep study unattended at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,719.00 | $51.00 – $303.16 |
| UPMC Presbyterian | Pittsburgh | $2,205.60 | $97.50 – $337.65 |
| UPMC St. Margaret | Pittsburgh | $1,768.20 | $37.80 – $303.16 |
| UPMC Wellsboro | Wellsboro | $752.80 | $117.80 – $846.90 |
| UPMC Williamsport | Williamsport | $90.00 | $59.69 – $303.16 |