healthcosts.net
Mayo hvdip HIV 2 antibody at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$67.20
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.
?
What you pay up front if you don't use insurance.
$112.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$11.27 with UPMC Health Plan vs $100.80 with Health Payors Organization — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $11.27 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $13.36 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $13.52 | ↓ -80% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $13.87 | ↓ -79% |
| Aetna of PA | Medicare | $14.20 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $14.60 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.60 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.60 | ↓ -78% |
| Aetna | Medicare | $14.87 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $15.21 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $15.90 | ↓ -76% |
| UPMC Health Plan | Commercial | $19.16 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $20.51 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $21.88 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $23.57 | ↓ -65% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $26.56 | ↓ -60% |
| Aetna | Neighborhood Network | $31.25 | ↓ -53% |
| Aetna | Home Depot Employer Group | $34.10 | ↓ -49% |
| Aetna | NBR ASO/FI | $34.72 | ↓ -48% |
| Cigna | New Business ASO | $38.08 | ↓ -43% |
| Bravo | Medicare | $39.20 | ↓ -42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $40.11 | ↓ -40% |
| Aetna | EBR FI | $42.56 | ↓ -37% |
| Cigna | Commercial | $44.80 | ↓ -33% |
| Aetna | EBR ASO | $44.80 | ↓ -33% |
| Coventry/First Health | Commercial | $49.28 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $53.72 | ↓ -20% |
| InterGroup | PPO | $56.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $63.40 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $67.20 | ↑ +0% |
| UPMC Health Plan | CHIP | $69.44 | ↑ +3% |
| Private Health Care Systems | PPO | $84.00 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Indemnity | $84.91 | ↑ +26% |
| InterGroup | Approved National Affiliated PPO Business | $89.60 | ↑ +33% |
| American Healthcare Group | Commercial | $89.60 | ↑ +33% |
| National Provider Network | PPO | $91.84 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $100.80 | ↑ +50% |
| Health Payors Organization | Commercial | $100.80 | ↑ +50% |
Visitor-reported prices
Comments
Mayo hvdip HIV 2 antibody at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $97.20 | $12.56 – $137.70 |
| UPMC Presbyterian | Pittsburgh | $928.80 | $13.36 – $1,315.80 |
| UPMC St. Margaret | Pittsburgh | $103.20 | $11.67 – $146.20 |
| UPMC Muncy | Muncy | $149.40 | $13.36 – $199.20 |
| UPMC Northwest | Seneca | $90.60 | $12.26 – $128.35 |
| UPMC Somerset | Somerset | $75.60 | $13.36 – $94.50 |
| UPMC Wellsboro | Wellsboro | $180.80 | $13.36 – $193.50 |
| UPMC Williamsport | Williamsport | $149.40 | $13.36 – $199.20 |