Nerve conduction studies 1-2 at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$210.00
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.
$350.00
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.
$33.55 with Highmark BCBS of PA vs $315.00 with Multiplan — 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 | $33.55 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $75.56 | ↓ -64% |
| UPMC Health Plan | Managed Medicaid | $78.97 | ↓ -62% |
| United Healthcare Community Plan for Families | PA Medicaid | $82.56 | ↓ -61% |
| Aetna | Neighborhood Network | $97.65 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $101.19 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicaid | $106.46 | ↓ -49% |
| Aetna | Home Depot Employer Group | $106.58 | ↓ -49% |
| Aetna | NBR ASO/FI | $108.50 | ↓ -48% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $113.60 | ↓ -46% |
| Cigna | New Business ASO | $119.00 | ↓ -43% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $122.34 | ↓ -42% |
| Bravo | Medicare | $122.50 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $124.35 | ↓ -41% |
| Aetna | EBR FI | $133.00 | ↓ -37% |
| Aetna | EBR ASO | $140.00 | ↓ -33% |
| Cigna | Commercial | $140.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $142.07 | ↓ -32% |
| UPMC Work Partners | Workers Comp | $142.41 | ↓ -32% |
| UPMC Health Plan | Commercial | $149.55 | ↓ -29% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $153.08 | ↓ -27% |
| Coventry/First Health | Commercial | $154.00 | ↓ -27% |
| Aetna of PA | Medicare | $156.63 | ↓ -25% |
| AmeriHealth Caritas | Medicare | $161.10 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.10 | ↓ -23% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.10 | ↓ -23% |
| Aetna | Medicare | $164.09 | ↓ -22% |
| InterGroup | PPO | $175.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $189.39 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Indemnity | $190.26 | ↓ -9% |
| Cigna Behavioral Health | Commercial | $210.00 | ↑ +0% |
| Private Health Care Systems | PPO | $262.50 | ↑ +25% |
| American Healthcare Group | Commercial | $280.00 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $280.00 | ↑ +33% |
| National Provider Network | PPO | $287.00 | ↑ +37% |
| Health Payors Organization | Commercial | $315.00 | ↑ +50% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $315.00 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nerve conduction studies 1-2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $129.60 | $33.87 – $161.10 |
| UPMC Presbyterian | Pittsburgh | $335.40 | $33.87 – $165.59 |
| UPMC Altoona | Altoona | $325.20 | $31.48 – $433.60 |
| UPMC Bedford | Everett | $334.80 | $53.82 – $502.20 |
| UPMC Carlisle | Carlisle | $177.60 | $40.55 – $251.60 |
| UPMC Cole | Coudersport | $117.00 | $24.39 – $128.09 |
| UPMC Community Osteopathic | Harrisburg | $177.60 | $41.24 – $251.60 |
| UPMC Hamot | Erie | $229.20 | $33.55 – $205.40 |