healthcosts.net
Repair blood vessel direct hand finger at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$5,349.60
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.
?
What you pay up front if you don't use insurance.
$8,916.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$726.32 with UPMC Health Plan vs $8,024.40 with Health Payors Organization — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $726.32 | ↓ -86% |
| United Healthcare Community Plan for Families | PA Medicaid | $759.33 | ↓ -86% |
| Private Health Care Systems | PPO | $840.00 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $979.21 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,044.84 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,109.02 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,125.27 | ↓ -79% |
| Aetna | Neighborhood Network | $2,487.56 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,497.73 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $2,501.43 | ↓ -53% |
| Aetna | Home Depot Employer Group | $2,714.92 | ↓ -49% |
| Aetna | NBR ASO/FI | $2,763.96 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $2,986.42 | ↓ -44% |
| Cigna | New Business ASO | $3,031.44 | ↓ -43% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,079.38 | ↓ -42% |
| Bravo | Medicare | $3,120.60 | ↓ -42% |
| Aetna of PA | Medicare | $3,150.80 | ↓ -41% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.82 | ↓ -39% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | ↓ -39% |
| Aetna | Medicare | $3,300.84 | ↓ -38% |
| Highmark BCBS of PA | Managed Care | $3,344.83 | ↓ -37% |
| Aetna | EBR FI | $3,388.08 | ↓ -37% |
| Cigna | Commercial | $3,566.40 | ↓ -33% |
| Aetna | EBR ASO | $3,566.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $3,661.78 | ↓ -32% |
| Coventry/First Health | Commercial | $3,923.04 | ↓ -27% |
| InterGroup | PPO | $4,458.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,129.77 | ↓ -4% |
| Cigna Behavioral Health | Commercial | $5,349.60 | ↑ +0% |
| UPMC Health Plan | CHIP | $5,828.37 | ↑ +9% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,869.84 | ↑ +28% |
| InterGroup | Approved National Affiliated PPO Business | $7,132.80 | ↑ +33% |
| American Healthcare Group | Commercial | $7,132.80 | ↑ +33% |
| National Provider Network | PPO | $7,311.12 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $8,024.40 | ↑ +50% |
| Health Payors Organization | Commercial | $8,024.40 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Repair blood vessel direct hand finger at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $8,436.00 | $726.32 – $11,951.00 |
| UPMC Wellsboro | Wellsboro | $7,133.40 | $726.32 – $10,700.10 |
| UPMC Williamsport | Williamsport | $7,133.40 | $726.32 – $9,511.20 |