healthcosts.net
Ins pq tunnld ip cath w/img at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$11,944.80
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.
$19,908.00
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.
$2,515.16 with UPMC Work Partners vs $17,917.20 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 Work Partners | Workers Comp | $2,515.16 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,721.93 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $2,804.68 | ↓ -77% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,452.69 | ↓ -71% |
| Aetna of PA | Medicare | $3,532.77 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $3,633.70 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,633.70 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,633.70 | ↓ -70% |
| Aetna | Medicare | $3,700.99 | ↓ -69% |
| UPMC Health Plan | Commercial | $5,536.40 | ↓ -54% |
| Aetna | Neighborhood Network | $5,554.33 | ↓ -54% |
| Aetna | Home Depot Employer Group | $6,061.99 | ↓ -49% |
| Highmark BCBS of PA | Managed Care - Social Mission | $6,130.35 | ↓ -49% |
| Aetna | NBR ASO/FI | $6,171.48 | ↓ -48% |
| Cigna | New Business ASO | $6,768.72 | ↓ -43% |
| Bravo | Medicare | $6,967.80 | ↓ -42% |
| Aetna | EBR FI | $7,565.04 | ↓ -37% |
| Cigna | Commercial | $7,963.20 | ↓ -33% |
| Aetna | EBR ASO | $7,963.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $8,209.44 | ↓ -31% |
| Coventry/First Health | Commercial | $8,759.52 | ↓ -27% |
| UPMC Health Plan | CHIP | $8,812.16 | ↓ -26% |
| InterGroup | PPO | $9,954.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10,949.40 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $11,944.80 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $12,590.33 | ↑ +5% |
| Private Health Care Systems | PPO | $14,931.00 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $15,926.40 | ↑ +33% |
| American Healthcare Group | Commercial | $15,926.40 | ↑ +33% |
| National Provider Network | PPO | $16,324.56 | ↑ +37% |
| Highmark BCBS of PA | Commercial - Indemnity | $16,861.11 | ↑ +41% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $17,917.20 | ↑ +50% |
| Health Payors Organization | Commercial | $17,917.20 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ins pq tunnld ip cath w/img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $14,346.00 | $2,234.51 – $20,323.50 |
| UPMC Presbyterian | Pittsburgh | $11,676.60 | $931.20 – $16,541.85 |
| UPMC St. Margaret | Pittsburgh | $8,686.20 | $2,234.51 – $12,305.45 |
| UPMC Northwest | Seneca | $8,416.80 | $2,234.51 – $11,923.80 |
| UPMC Somerset | Somerset | $11,758.20 | $892.40 – $14,697.75 |
| UPMC Williamsport | Williamsport | $7,670.40 | $993.28 – $10,227.20 |