Pn soln nos 10 grams lipids at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$187.20
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.
$312.00
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.
$19.14 with UPMC Work Partners vs $139.50 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $19.14 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $20.24 | ↓ -89% |
| Highmark BCBS of PA | Managed Care - Social Mission | $30.57 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $31.13 | ↓ -83% |
| Aetna | Medicare | $38.75 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $40.94 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Indemnity | $41.68 | ↓ -78% |
| Aetna | Neighborhood Network | $43.24 | ↓ -77% |
| Aetna | Home Depot Employer Group | $47.20 | ↓ -75% |
| Aetna | NBR ASO/FI | $48.05 | ↓ -74% |
| UPMC Health Plan | Commercial | $51.52 | ↓ -72% |
| Cigna | New Business ASO | $52.70 | ↓ -72% |
| Bravo | Medicare | $54.25 | ↓ -71% |
| Aetna | EBR FI | $58.90 | ↓ -69% |
| Aetna | EBR ASO | $62.00 | ↓ -67% |
| Cigna | Commercial | $62.00 | ↓ -67% |
| UPMC Health Plan | CHIP | $65.24 | ↓ -65% |
| Coventry/First Health | Commercial | $68.20 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $77.50 | ↓ -59% |
| InterGroup | PPO | $77.50 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $85.25 | ↓ -54% |
| Cigna Behavioral Health | Commercial | $93.00 | ↓ -50% |
| Private Health Care Systems | PPO | $116.25 | ↓ -38% |
| InterGroup | Approved National Affiliated PPO Business | $124.00 | ↓ -34% |
| American Healthcare Group | Commercial | $124.00 | ↓ -34% |
| National Provider Network | PPO | $127.10 | ↓ -32% |
| Health Payors Organization | Commercial | $139.50 | ↓ -25% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $139.50 | ↓ -25% |
Visitor-reported prices
Comments
Pn soln nos 10 grams lipids at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $264.60 | $12.56 – $65.24 |
| UPMC Passavant-McCandless | Pittsburgh | $264.60 | $19.14 – $94.67 |
| UPMC Presbyterian | Pittsburgh | $401.40 | $10.45 – $105.48 |
| UPMC St. Margaret | Pittsburgh | $360.00 | $19.14 – $80.05 |
| UPMC Western Psychiatric | Pittsburgh | $264.60 | $20.02 – $20.02 |
| UPMC Altoona | Altoona | $71.40 | $19.14 – $65.24 |
| UPMC Bedford | Everett | $74.40 | $7.00 – $65.24 |
| UPMC East | Monroeville | $360.00 | $19.14 – $239.20 |