healthcosts.net
Pressure max expiratory/inspiratory at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$2,547.00
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.
$4,245.00
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.
$7.04 with Highmark BCBS of PA vs $161.10 with PA Health & Wellness — 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 | $7.04 | ↓ -100% |
| Highmark BCBS of PA | Managed Care - Social Mission | $15.87 | ↓ -99% |
| Highmark BCBS of PA | Managed Care | $21.25 | ↓ -99% |
| UPMC Health Plan | Commercial | $22.91 | ↓ -99% |
| Aetna | Neighborhood Network | $26.78 | ↓ -99% |
| UPMC Health Plan | CHIP | $29.01 | ↓ -99% |
| Aetna | Home Depot Employer Group | $29.23 | ↓ -99% |
| Aetna | NBR ASO/FI | $29.76 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $29.83 | ↓ -99% |
| Cigna | New Business ASO | $32.64 | ↓ -99% |
| Bravo | Medicare | $33.60 | ↓ -99% |
| Aetna | EBR FI | $36.48 | ↓ -99% |
| Cigna | Commercial | $38.40 | ↓ -98% |
| Aetna | EBR ASO | $38.40 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity | $39.95 | ↓ -98% |
| Coventry/First Health | Commercial | $42.24 | ↓ -98% |
| InterGroup | PPO | $48.00 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $52.80 | ↓ -98% |
| Cigna Behavioral Health | Commercial | $57.60 | ↓ -98% |
| Private Health Care Systems | PPO | $72.00 | ↓ -97% |
| InterGroup | Approved National Affiliated PPO Business | $76.80 | ↓ -97% |
| American Healthcare Group | Commercial | $76.80 | ↓ -97% |
| National Provider Network | PPO | $78.72 | ↓ -97% |
| Aetna | Medicare | $82.75 | ↓ -97% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $86.40 | ↓ -97% |
| Health Payors Organization | Commercial | $86.40 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $88.00 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $124.35 | ↓ -95% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $153.08 | ↓ -94% |
| Aetna of PA | Medicare | $156.63 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $161.10 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.10 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.10 | ↓ -94% |
| 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
Pressure max expiratory/inspiratory at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $154.20 | $26.55 – $159.30 |
| UPMC Northwest | Seneca | $154.80 | $18.28 – $161.10 |
| UPMC Somerset | Somerset | $279.00 | $6.97 – $313.50 |
| UPMC Wellsboro | Wellsboro | $187.20 | $31.86 – $159.30 |
| UPMC Williamsport | Williamsport | $154.20 | $47.79 – $161.09 |