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Monitor reveal linq ii cardiac at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$12,370.80
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.
$20,618.00
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.
$2,358.91 with Highmark BCBS of PA vs $15,597.46 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 BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,358.91 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,999.52 | ↓ -76% |
| Aetna | Medicare | $3,124.50 | ↓ -75% |
| Aetna | Neighborhood Network | $3,486.94 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,562.48 | ↓ -71% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,627.20 | ↓ -71% |
| Aetna | Home Depot Employer Group | $3,805.64 | ↓ -69% |
| Aetna | NBR ASO/FI | $3,874.38 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,124.34 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4,228.07 | ↓ -66% |
| Cigna | New Business ASO | $4,249.32 | ↓ -66% |
| Aetna | EBR FI | $4,749.24 | ↓ -62% |
| Highmark BCBS of PA | Managed Care | $4,770.61 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,857.16 | ↓ -61% |
| Aetna | EBR ASO | $4,999.20 | ↓ -60% |
| Cigna | Commercial | $4,999.20 | ↓ -60% |
| Coventry/First Health | Commercial | $5,499.12 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,249.00 | ↓ -49% |
| InterGroup | PPO | $6,249.00 | ↓ -49% |
| Cigna Behavioral Health | Commercial | $7,498.80 | ↓ -39% |
| Private Health Care Systems | PPO | $9,373.50 | ↓ -24% |
| American Healthcare Group | Commercial | $9,998.40 | ↓ -19% |
| InterGroup | Approved National Affiliated PPO Business | $9,998.40 | ↓ -19% |
| National Provider Network | PPO | $10,248.36 | ↓ -17% |
| Health Payors Organization | Commercial | $11,248.20 | ↓ -9% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $11,248.20 | ↓ -9% |
| UPMC Health Plan | Commercial | $12,316.42 | ↓ -0% |
| UPMC Health Plan | CHIP | $15,597.46 | ↑ +26% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
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Monitor reveal linq ii cardiac at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $14,856.60 | $2,381.37 – $22,633.86 |
| UPMC Presbyterian | Pittsburgh | $26,418.60 | $1,999.80 – $25,218.30 |
| UPMC Northwest | Seneca | $15,190.20 | $4,209.25 – $18,874.31 |
| UPMC Somerset | Somerset | $13,107.60 | $2,335.05 – $16,384.50 |
| UPMC Williamsport | Williamsport | $12,083.40 | $2,406.80 – $10,830.60 |