healthcosts.net
Place slctv cath subclavian art at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$13,620.60
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.
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What you pay up front if you don't use insurance.
$22,701.00
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.
$276.45 with UPMC Health Plan vs $20,430.90 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $276.45 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $289.02 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $372.71 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $397.69 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $428.30 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,242.29 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $2,385.82 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $2,501.43 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,797.90 | ↓ -79% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,079.38 | ↓ -77% |
| Aetna of PA | Medicare | $3,150.80 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.82 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | ↓ -76% |
| Aetna | Medicare | $3,300.84 | ↓ -76% |
| Highmark BCBS of PA | Managed Care | $3,746.79 | ↓ -72% |
| UPMC Health Plan | Commercial | $4,009.05 | ↓ -71% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,746.23 | ↓ -58% |
| Aetna | Neighborhood Network | $6,333.58 | ↓ -53% |
| Aetna | Home Depot Employer Group | $6,912.45 | ↓ -49% |
| Aetna | NBR ASO/FI | $7,037.31 | ↓ -48% |
| UPMC Health Plan | CHIP | $7,252.45 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,695.42 | ↓ -44% |
| Cigna | New Business ASO | $7,718.34 | ↓ -43% |
| Bravo | Medicare | $7,945.35 | ↓ -42% |
| Aetna | EBR FI | $8,626.38 | ↓ -37% |
| Cigna | Commercial | $9,080.40 | ↓ -33% |
| Aetna | EBR ASO | $9,080.40 | ↓ -33% |
| Coventry/First Health | Commercial | $9,988.44 | ↓ -27% |
| InterGroup | PPO | $11,350.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $13,620.60 | ↑ +0% |
| Private Health Care Systems | PPO | $17,025.75 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $18,160.80 | ↑ +33% |
| American Healthcare Group | Commercial | $18,160.80 | ↑ +33% |
| National Provider Network | PPO | $18,614.82 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $20,430.90 | ↑ +50% |
| Health Payors Organization | Commercial | $20,430.90 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Place slctv cath subclavian art at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $26,215.20 | $276.45 – $37,138.20 |
| UPMC Presbyterian | Pittsburgh | $30,964.80 | $276.45 – $43,866.80 |
| UPMC St. Margaret | Pittsburgh | $10,678.80 | $1,254.12 – $15,128.30 |
| UPMC Northwest | Seneca | $16,897.20 | $2,079.42 – $23,937.70 |
| UPMC Somerset | Somerset | $6,360.60 | $892.40 – $7,875.75 |
| UPMC Williamsport | Williamsport | $7,476.00 | $276.45 – $4,984.00 |