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Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$2,083.80
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.
$3,473.00
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.
$778.32 with Highmark BCBS of PA vs $2,948.40 with Multiplan — 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 BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $778.32 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicaid | $786.24 | ↓ -62% |
| Aetna | Medicare | $819.00 | ↓ -61% |
| Aetna | Neighborhood Network | $914.00 | ↓ -56% |
| Aetna | Home Depot Employer Group | $997.54 | ↓ -52% |
| Aetna | NBR ASO/FI | $1,015.56 | ↓ -51% |
| UPMC Health Plan | Commercial | $1,029.49 | ↓ -51% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,081.08 | ↓ -48% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,108.27 | ↓ -47% |
| Cigna | New Business ASO | $1,113.84 | ↓ -47% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,175.43 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,196.79 | ↓ -43% |
| Aetna | EBR FI | $1,244.88 | ↓ -40% |
| UPMC Health Plan | CHIP | $1,303.74 | ↓ -37% |
| Aetna | EBR ASO | $1,310.40 | ↓ -37% |
| Cigna | Commercial | $1,310.40 | ↓ -37% |
| Coventry/First Health | Commercial | $1,441.44 | ↓ -31% |
| Highmark BCBS of PA | Managed Care | $1,574.05 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,602.61 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,638.00 | ↓ -21% |
| InterGroup | PPO | $1,638.00 | ↓ -21% |
| Cigna Behavioral Health | Commercial | $1,965.60 | ↓ -6% |
| Private Health Care Systems | PPO | $2,457.00 | ↑ +18% |
| American Healthcare Group | Commercial | $2,620.80 | ↑ +26% |
| InterGroup | Approved National Affiliated PPO Business | $2,620.80 | ↑ +26% |
| National Provider Network | PPO | $2,686.32 | ↑ +29% |
| Health Payors Organization | Commercial | $2,948.40 | ↑ +41% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,948.40 | ↑ +41% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
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Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,965.60 | $720.72 – $2,784.60 |
| UPMC Presbyterian | Pittsburgh | $2,619.00 | $523.80 – $3,710.25 |
| UPMC St. Margaret | Pittsburgh | $1,650.60 | $550.20 – $2,338.35 |