healthcosts.net
Ghs somatosensory testing upper & lower limbs at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$764.40
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.
$1,274.00
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.
$240.33 with UPMC Health Plan vs $1,664.72 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $240.33 | ↓ -69% |
| United Healthcare Community Plan for Families | PA Medicaid | $251.25 | ↓ -67% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $293.56 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicaid | $324.01 | ↓ -58% |
| UPMC Health Plan | Commercial | $325.19 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $345.72 | ↓ -55% |
| Aetna | Neighborhood Network | $355.45 | ↓ -53% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $372.33 | ↓ -51% |
| Aetna | Home Depot Employer Group | $387.93 | ↓ -49% |
| Aetna | NBR ASO/FI | $394.94 | ↓ -48% |
| UPMC Health Plan | CHIP | $411.82 | ↓ -46% |
| UPMC Health Plan | Managed Medicare | $421.68 | ↓ -45% |
| Cigna | New Business ASO | $433.16 | ↓ -43% |
| Bravo | Medicare | $445.90 | ↓ -42% |
| UPMC Work Partners | Workers Comp | $461.87 | ↓ -40% |
| Aetna | EBR FI | $484.12 | ↓ -37% |
| Cigna | Commercial | $509.60 | ↓ -33% |
| Aetna | EBR ASO | $509.60 | ↓ -33% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $519.11 | ↓ -32% |
| Aetna of PA | Medicare | $531.15 | ↓ -31% |
| AmeriHealth Caritas | Medicare | $546.33 | ↓ -29% |
| Highmark Wholecare (prev Gateway) | Medicare | $546.33 | ↓ -29% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $546.33 | ↓ -29% |
| Aetna | Medicare | $556.45 | ↓ -27% |
| Coventry/First Health | Commercial | $560.56 | ↓ -27% |
| InterGroup | PPO | $637.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $661.16 | ↓ -14% |
| Cigna Behavioral Health | Commercial | $764.40 | ↑ +0% |
| Highmark BCBS of PA | Managed Care | $885.39 | ↑ +16% |
| Private Health Care Systems | PPO | $955.50 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $1,019.20 | ↑ +33% |
| American Healthcare Group | Commercial | $1,019.20 | ↑ +33% |
| National Provider Network | PPO | $1,044.68 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,146.60 | ↑ +50% |
| Health Payors Organization | Commercial | $1,146.60 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,243.04 | ↑ +63% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,664.72 | ↑ +118% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs somatosensory testing upper & lower limbs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $855.60 | $240.33 – $1,212.10 |
| UPMC Presbyterian | Pittsburgh | $1,048.20 | $221.27 – $1,484.95 |
| UPMC St. Margaret | Pittsburgh | $783.60 | $240.33 – $1,110.10 |
| UPMC Muncy | Muncy | $687.00 | $171.75 – $916.00 |
| UPMC Northwest | Seneca | $1,858.80 | $240.33 – $2,633.30 |
| UPMC Somerset | Somerset | $1,077.00 | $212.05 – $1,346.25 |
| UPMC Williamsport | Williamsport | $687.00 | $236.02 – $916.00 |