healthcosts.net
Perc cryo ablate renal tum at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$44,842.80
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.
$74,738.00
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.
$8,021.67 with Highmark BCBS of PA vs $67,264.20 with Health Payors Organization — 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 | $8,021.67 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $8,274.19 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $8,359.97 | ↓ -81% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $10,185.91 | ↓ -77% |
| Aetna of PA | Medicare | $10,422.14 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $10,719.92 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $10,719.92 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $10,719.92 | ↓ -76% |
| Aetna | Medicare | $10,918.43 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $18,066.45 | ↓ -60% |
| Aetna | Neighborhood Network | $20,851.90 | ↓ -54% |
| Aetna | Home Depot Employer Group | $22,757.72 | ↓ -49% |
| Aetna | NBR ASO/FI | $23,168.78 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $24,193.61 | ↓ -46% |
| Cigna | New Business ASO | $25,410.92 | ↓ -43% |
| UPMC Health Plan | CHIP | $26,158.30 | ↓ -42% |
| Bravo | Medicare | $26,158.30 | ↓ -42% |
| Aetna | EBR FI | $28,400.44 | ↓ -37% |
| Cigna | Commercial | $29,895.20 | ↓ -33% |
| Aetna | EBR ASO | $29,895.20 | ↓ -33% |
| Coventry/First Health | Commercial | $32,884.72 | ↓ -27% |
| UPMC Health Plan | Commercial | $33,632.10 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $37,104.32 | ↓ -17% |
| InterGroup | PPO | $37,369.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $41,105.90 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $44,842.80 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $49,690.51 | ↑ +11% |
| Private Health Care Systems | PPO | $56,053.50 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $59,790.40 | ↑ +33% |
| American Healthcare Group | Commercial | $59,790.40 | ↑ +33% |
| National Provider Network | PPO | $61,285.16 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $67,264.20 | ↑ +50% |
| Health Payors Organization | Commercial | $67,264.20 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Perc cryo ablate renal tum at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $59,707.20 | $6,651.90 – $84,585.20 |
| UPMC Somerset | Somerset | $20,125.80 | $6,374.74 – $25,157.25 |
| UPMC Williamsport | Williamsport | $51,594.60 | $7,000.76 – $68,792.80 |