healthcosts.net
MRI cardiac morph & func wwo IV cont at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$1,648.80
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.
$2,748.00
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.
$283.82 with UPMC Health Plan vs $5,084.61 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $283.82 | ↓ -83% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $349.40 | ↓ -79% |
| Aetna of PA | Medicare | $357.50 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $367.72 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.72 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $367.72 | ↓ -78% |
| Aetna | Medicare | $374.53 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $535.18 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $559.51 | ↓ -66% |
| Bravo | Medicare | $687.00 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $721.52 | ↓ -56% |
| Aetna | Neighborhood Network | $766.69 | ↓ -54% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $769.89 | ↓ -53% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $829.14 | ↓ -50% |
| Aetna | Home Depot Employer Group | $836.77 | ↓ -49% |
| Aetna | NBR ASO/FI | $851.88 | ↓ -48% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $893.73 | ↓ -46% |
| Cigna | New Business ASO | $934.32 | ↓ -43% |
| UPMC Health Plan | Commercial | $1,002.21 | ↓ -39% |
| Aetna | EBR FI | $1,044.24 | ↓ -37% |
| Cigna | Commercial | $1,099.20 | ↓ -33% |
| Aetna | EBR ASO | $1,099.20 | ↓ -33% |
| Premier Comp Solutions | Worker's Comp | $1,101.06 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $1,183.64 | ↓ -28% |
| Coventry/First Health | Commercial | $1,209.12 | ↓ -27% |
| InterGroup | PPO | $1,374.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $1,648.80 | ↑ +0% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,012.86 | ↑ +22% |
| Private Health Care Systems | PPO | $2,061.00 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $2,198.40 | ↑ +33% |
| American Healthcare Group | Commercial | $2,198.40 | ↑ +33% |
| National Provider Network | PPO | $2,253.36 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,473.20 | ↑ +50% |
| Health Payors Organization | Commercial | $2,473.20 | ↑ +50% |
| Highmark BCBS of PA | Managed Care | $2,695.52 | ↑ +63% |
| UPMC Health Plan | CHIP | $3,632.61 | ↑ +120% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,796.57 | ↑ +130% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,084.61 | ↑ +208% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
MRI cardiac morph & func wwo IV cont at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,999.40 | $316.41 – $8,499.15 |
| UPMC Presbyterian | Pittsburgh | $8,173.20 | $367.72 – $11,578.70 |
| UPMC Muncy | Muncy | $3,051.00 | $492.35 – $4,068.00 |
| UPMC Somerset | Somerset | $2,713.80 | $337.08 – $3,392.25 |
| UPMC Wellsboro | Wellsboro | $3,689.60 | $492.35 – $4,150.80 |
| UPMC Williamsport | Williamsport | $3,051.00 | $343.82 – $4,068.00 |