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Navigational bronchoscopy 31627 at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
not published by hospital
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.
not published by hospital
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.
$824.70 with UPMC Health Plan vs $12,473.66 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 | Commercial | $824.70 | — |
| UPMC Health Plan | CHIP | $1,491.90 | — |
| UPMC Work Partners | Workers Comp | $1,973.84 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,013.66 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,535.17 | — |
| Highmark BCBS of PA | Managed Care | $6,073.25 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $9,314.19 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $12,473.66 | — |
Visitor-reported prices
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Navigational bronchoscopy 31627 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $10,068.60 | $831.39 – $14,263.85 |
| UPMC Presbyterian | Pittsburgh | $29,249.40 | $69.46 – $41,436.65 |
| UPMC Somerset | Somerset | $1,062.00 | $66.56 – $1,993.29 |
| UPMC Wellsboro | Wellsboro | $6,768.80 | $74.09 – $7,614.90 |
| UPMC Williamsport | Williamsport | $5,596.80 | $74.09 – $7,462.40 |