healthcosts.net
Immobilizer shldr cntor adlt at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$378.00
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.
$630.00
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.
$14.88 with Highmark Wholecare (prev Gateway) vs $599.54 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $14.88 | ↓ -96% |
| Aetna | Medicare | $15.50 | ↓ -96% |
| Aetna | Neighborhood Network | $17.30 | ↓ -95% |
| Aetna | Home Depot Employer Group | $18.88 | ↓ -95% |
| Aetna | NBR ASO/FI | $19.22 | ↓ -95% |
| Cigna | New Business ASO | $21.08 | ↓ -94% |
| Aetna | EBR FI | $23.56 | ↓ -94% |
| Aetna | EBR ASO | $24.80 | ↓ -93% |
| Cigna | Commercial | $24.80 | ↓ -93% |
| Coventry/First Health | Commercial | $27.28 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $31.00 | ↓ -92% |
| InterGroup | PPO | $31.00 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $34.10 | ↓ -91% |
| Cigna Behavioral Health | Commercial | $37.20 | ↓ -90% |
| Private Health Care Systems | PPO | $46.50 | ↓ -88% |
| American Healthcare Group | Commercial | $49.60 | ↓ -87% |
| InterGroup | Approved National Affiliated PPO Business | $49.60 | ↓ -87% |
| National Provider Network | PPO | $50.84 | ↓ -87% |
| Health Payors Organization | Commercial | $55.80 | ↓ -85% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $55.80 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $160.95 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $229.76 | ↓ -39% |
| Highmark BCBS of PA | Managed Care - Social Mission | $243.08 | ↓ -36% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $247.49 | ↓ -35% |
| Highmark BCBS of PA | Managed Care | $325.51 | ↓ -14% |
| Highmark BCBS of PA | Commercial - Indemnity | $331.41 | ↓ -12% |
| UPMC Health Plan | Commercial | $473.42 | ↑ +25% |
| UPMC Health Plan | CHIP | $599.54 | ↑ +59% |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
Comments
Immobilizer shldr cntor adlt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $376.80 | $9.24 – $870.00 |
| UPMC Presbyterian | Pittsburgh | $631.80 | $7.80 – $969.34 |
| UPMC St. Margaret | Pittsburgh | $369.60 | $35.40 – $735.67 |
| UPMC Muncy | Muncy | $35.40 | $4.50 – $229.76 |
| UPMC Northwest | Seneca | $198.00 | $33.25 – $725.49 |
| UPMC Wellsboro | Wellsboro | $43.00 | $2.65 – $229.76 |
| UPMC Williamsport | Williamsport | $362.40 | $6.00 – $229.76 |