healthcosts.net
Lead ingevity 45cm pfret MRI at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$4,238.40
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.
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What you pay up front if you don't use insurance.
$7,064.00
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.
$724.08 with Highmark Wholecare (prev Gateway) vs $4,901.46 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 | $724.08 | ↓ -83% |
| Aetna | Medicare | $754.25 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $765.23 | ↓ -82% |
| Aetna | Neighborhood Network | $841.74 | ↓ -80% |
| Aetna | Home Depot Employer Group | $918.68 | ↓ -78% |
| Aetna | NBR ASO/FI | $935.27 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $995.61 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,020.65 | ↓ -76% |
| Cigna | New Business ASO | $1,025.78 | ↓ -76% |
| Aetna | EBR FI | $1,146.46 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,155.67 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,176.66 | ↓ -72% |
| Aetna | EBR ASO | $1,206.80 | ↓ -72% |
| Cigna | Commercial | $1,206.80 | ↓ -72% |
| Coventry/First Health | Commercial | $1,327.48 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,508.50 | ↓ -64% |
| InterGroup | PPO | $1,508.50 | ↓ -64% |
| Highmark BCBS of PA | Managed Care | $1,547.59 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,575.66 | ↓ -63% |
| Cigna Behavioral Health | Commercial | $1,810.20 | ↓ -57% |
| Private Health Care Systems | PPO | $2,262.75 | ↓ -47% |
| American Healthcare Group | Commercial | $2,413.60 | ↓ -43% |
| InterGroup | Approved National Affiliated PPO Business | $2,413.60 | ↓ -43% |
| National Provider Network | PPO | $2,473.94 | ↓ -42% |
| Health Payors Organization | Commercial | $2,715.30 | ↓ -36% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,715.30 | ↓ -36% |
| UPMC Health Plan | Commercial | $3,870.40 | ↓ -9% |
| UPMC Health Plan | CHIP | $4,901.46 | ↑ +16% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
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Lead ingevity 45cm pfret MRI at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,132.20 | $0.22 – $7,112.63 |
| UPMC Presbyterian | Pittsburgh | $10,843.20 | $0.12 – $7,924.78 |
| UPMC Muncy | Muncy | $1,351.80 | $50.70 – $304.20 |
| UPMC Northwest | Seneca | $1,296.60 | $540.25 – $5,931.20 |
| UPMC Somerset | Somerset | $2,715.00 | $757.49 – $3,393.75 |
| UPMC Wellsboro | Wellsboro | $1,635.20 | $55.26 – $276.30 |
| UPMC Williamsport | Williamsport | $5,084.40 | $67.60 – $304.20 |