healthcosts.net
Platelets pheresis leukocytes reduced each unit at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$3,168.60
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.
$5,281.00
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.
$387.12 with UPMC Health Plan vs $4,752.90 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 Medicare | $387.12 | ↓ -88% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $476.56 | ↓ -85% |
| Aetna of PA | Medicare | $487.61 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $501.54 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $501.54 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $501.54 | ↓ -84% |
| Aetna | Medicare | $510.83 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $864.34 | ↓ -73% |
| UPMC Health Plan | Commercial | $1,231.84 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,305.35 | ↓ -59% |
| Aetna | Neighborhood Network | $1,473.40 | ↓ -53% |
| UPMC Health Plan | CHIP | $1,559.99 | ↓ -51% |
| Aetna | Home Depot Employer Group | $1,608.06 | ↓ -49% |
| Aetna | NBR ASO/FI | $1,637.11 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $1,748.03 | ↓ -45% |
| Cigna | New Business ASO | $1,795.54 | ↓ -43% |
| Bravo | Medicare | $1,848.35 | ↓ -42% |
| Aetna | EBR FI | $2,006.78 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,063.20 | ↓ -35% |
| Cigna | Commercial | $2,112.40 | ↓ -33% |
| Aetna | EBR ASO | $2,112.40 | ↓ -33% |
| Coventry/First Health | Commercial | $2,323.64 | ↓ -27% |
| InterGroup | PPO | $2,640.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,763.12 | ↓ -13% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,904.55 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $3,168.60 | ↑ +0% |
| Private Health Care Systems | PPO | $3,960.75 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $4,224.80 | ↑ +33% |
| American Healthcare Group | Commercial | $4,224.80 | ↑ +33% |
| National Provider Network | PPO | $4,330.42 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $4,752.90 | ↑ +50% |
| Health Payors Organization | Commercial | $4,752.90 | ↑ +50% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Platelets pheresis leukocytes reduced each unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,525.60 | $431.56 – $4,994.60 |
| UPMC Presbyterian | Pittsburgh | $4,768.80 | $355.50 – $6,755.80 |
| UPMC St. Margaret | Pittsburgh | $3,776.40 | $400.95 – $5,349.90 |
| UPMC Muncy | Muncy | $2,713.80 | $379.20 – $4,070.70 |
| UPMC Northwest | Seneca | $1,644.00 | $421.16 – $2,329.00 |
| UPMC Somerset | Somerset | $715.80 | $340.69 – $894.75 |
| UPMC Wellsboro | Wellsboro | $3,282.40 | $379.20 – $3,692.70 |
| UPMC Williamsport | Williamsport | $2,713.80 | $379.20 – $4,070.70 |