healthcosts.net
Mopath procedure level 6 at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$5,299.80
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.
$8,833.00
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.
$133.36 with Aetna vs $2,850.18 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | Neighborhood Network | $133.36 | ↓ -97% |
| Aetna | Home Depot Employer Group | $145.55 | ↓ -97% |
| Aetna | NBR ASO/FI | $148.18 | ↓ -97% |
| Cigna | New Business ASO | $162.52 | ↓ -97% |
| Bravo | Medicare | $167.30 | ↓ -97% |
| Aetna | EBR FI | $181.64 | ↓ -97% |
| Cigna | Commercial | $191.20 | ↓ -96% |
| Aetna | EBR ASO | $191.20 | ↓ -96% |
| Coventry/First Health | Commercial | $210.32 | ↓ -96% |
| InterGroup | PPO | $239.00 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $251.21 | ↓ -95% |
| UPMC Health Plan | Commercial | $254.11 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $262.90 | ↓ -95% |
| Cigna Behavioral Health | Commercial | $286.80 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $297.84 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $301.35 | ↓ -94% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $309.25 | ↓ -94% |
| Aetna of PA | Medicare | $316.42 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $325.46 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $325.46 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $325.46 | ↓ -94% |
| Aetna | Medicare | $331.49 | ↓ -94% |
| Private Health Care Systems | PPO | $358.50 | ↓ -93% |
| InterGroup | Approved National Affiliated PPO Business | $382.40 | ↓ -93% |
| American Healthcare Group | Commercial | $382.40 | ↓ -93% |
| National Provider Network | PPO | $391.96 | ↓ -93% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $430.20 | ↓ -92% |
| Health Payors Organization | Commercial | $430.20 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $891.57 | ↓ -83% |
| UPMC Health Plan | CHIP | $921.03 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,346.47 | ↓ -75% |
| Highmark BCBS of PA | Managed Care | $1,803.10 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,128.21 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,850.18 | ↓ -46% |
Visitor-reported prices
Comments
Mopath procedure level 6 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $9,041.40 | $222.70 – $900.06 |
| UPMC Presbyterian | Pittsburgh | $5,851.80 | $40.32 – $900.06 |
| UPMC St. Margaret | Pittsburgh | $5,299.80 | $167.58 – $900.06 |
| UPMC Northwest | Seneca | $5,299.80 | $255.72 – $672.35 |
| UPMC Wellsboro | Wellsboro | $2,934.00 | $113.40 – $567.00 |
| UPMC Williamsport | Williamsport | $5,054.40 | $177.28 – $375.20 |