healthcosts.net
Hla ii typing 1 loc hr at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$2,923.20
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.
$4,872.00
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.
$103.10 with UPMC Health Plan vs $2,575.80 with Health Payors Organization — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $103.10 | ↓ -96% |
| UPMC Health Plan | Commercial | $115.04 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $122.24 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $123.68 | ↓ -96% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $126.92 | ↓ -96% |
| Aetna of PA | Medicare | $129.86 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $133.57 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $133.57 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $133.57 | ↓ -95% |
| Aetna | Medicare | $136.05 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $148.48 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $155.23 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $200.18 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $213.59 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $230.03 | ↓ -92% |
| UPMC Health Plan | CHIP | $416.98 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $445.78 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $673.22 | ↓ -77% |
| Aetna | Neighborhood Network | $798.50 | ↓ -73% |
| Aetna | Home Depot Employer Group | $871.48 | ↓ -70% |
| Aetna | NBR ASO/FI | $887.22 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $901.53 | ↓ -69% |
| Cigna | New Business ASO | $973.08 | ↓ -67% |
| Bravo | Medicare | $1,001.70 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,064.08 | ↓ -64% |
| Aetna | EBR FI | $1,087.56 | ↓ -63% |
| Cigna | Commercial | $1,144.80 | ↓ -61% |
| Aetna | EBR ASO | $1,144.80 | ↓ -61% |
| Coventry/First Health | Commercial | $1,259.28 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,425.06 | ↓ -51% |
| InterGroup | PPO | $1,431.00 | ↓ -51% |
| Cigna Behavioral Health | Commercial | $1,717.20 | ↓ -41% |
| Private Health Care Systems | PPO | $2,146.50 | ↓ -27% |
| InterGroup | Approved National Affiliated PPO Business | $2,289.60 | ↓ -22% |
| American Healthcare Group | Commercial | $2,289.60 | ↓ -22% |
| National Provider Network | PPO | $2,346.84 | ↓ -20% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,575.80 | ↓ -12% |
| Health Payors Organization | Commercial | $2,575.80 | ↓ -12% |
Visitor-reported prices
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Hla ii typing 1 loc hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,951.80 | $114.94 – $2,432.70 |
| UPMC Presbyterian | Pittsburgh | $2,925.00 | $122.10 – $2,432.70 |
| UPMC Northwest | Seneca | $2,925.00 | $112.17 – $1,662.60 |
| UPMC Somerset | Somerset | $714.60 | $122.24 – $317.25 |
| UPMC Williamsport | Williamsport | $1,843.80 | $122.24 – $2,246.40 |