healthcosts.net
MRI chest w IV cont at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$5,313.60
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.
$8,856.00
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.
$431.72 with UPMC Health Plan vs $7,970.40 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 Medicaid | $431.72 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $451.34 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $541.06 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $582.03 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $621.04 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $627.89 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $668.85 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $772.96 | ↓ -85% |
| Aetna of PA | Medicare | $790.89 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $813.49 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $813.49 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $813.49 | ↓ -85% |
| Aetna | Medicare | $828.55 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,218.58 | ↓ -77% |
| Premier Comp Solutions | Worker's Comp | $1,231.00 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $1,323.33 | ↓ -75% |
| Highmark BCBS of PA | Managed Care | $1,631.85 | ↓ -69% |
| UPMC Health Plan | Commercial | $1,808.04 | ↓ -66% |
| Bravo | Medicare | $2,214.00 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,298.43 | ↓ -57% |
| Aetna | Neighborhood Network | $2,470.82 | ↓ -54% |
| Aetna | Home Depot Employer Group | $2,696.65 | ↓ -49% |
| Aetna | NBR ASO/FI | $2,745.36 | ↓ -48% |
| Cigna | New Business ASO | $3,011.04 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,078.20 | ↓ -42% |
| Aetna | EBR FI | $3,365.28 | ↓ -37% |
| Cigna | Commercial | $3,542.40 | ↓ -33% |
| Aetna | EBR ASO | $3,542.40 | ↓ -33% |
| Coventry/First Health | Commercial | $3,896.64 | ↓ -27% |
| InterGroup | PPO | $4,428.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $5,313.60 | ↑ +0% |
| UPMC Health Plan | CHIP | $6,553.40 | ↑ +23% |
| Private Health Care Systems | PPO | $6,642.00 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $7,084.80 | ↑ +33% |
| American Healthcare Group | Commercial | $7,084.80 | ↑ +33% |
| National Provider Network | PPO | $7,261.92 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $7,970.40 | ↑ +50% |
| Health Payors Organization | Commercial | $7,970.40 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
MRI chest w IV cont at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,836.80 | $431.72 – $4,018.80 |
| UPMC Presbyterian | Pittsburgh | $8,004.00 | $374.64 – $11,339.00 |
| UPMC St. Margaret | Pittsburgh | $3,264.60 | $431.72 – $4,624.85 |
| UPMC Muncy | Muncy | $3,051.00 | $399.62 – $4,068.00 |
| UPMC Somerset | Somerset | $4,837.20 | $359.03 – $6,046.50 |
| UPMC Wellsboro | Wellsboro | $3,689.60 | $399.62 – $4,150.80 |
| UPMC Williamsport | Williamsport | $3,051.00 | $399.62 – $4,068.00 |