healthcosts.net
Rmvl ndwellg tun pleural cath at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$1,826.40
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.
$3,044.00
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.
$307.93 with UPMC Work Partners vs $2,769.59 with UPMC Health Plan — 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 Work Partners | Workers Comp | $307.93 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $326.78 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $491.36 | ↓ -73% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $604.88 | ↓ -67% |
| Aetna of PA | Medicare | $618.91 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $636.60 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $636.60 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $636.60 | ↓ -65% |
| Aetna | Medicare | $648.38 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $735.97 | ↓ -60% |
| Aetna | Neighborhood Network | $849.28 | ↓ -53% |
| Aetna | Home Depot Employer Group | $926.90 | ↓ -49% |
| Aetna | NBR ASO/FI | $943.64 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $985.57 | ↓ -46% |
| Cigna | New Business ASO | $1,034.96 | ↓ -43% |
| Bravo | Medicare | $1,065.40 | ↓ -42% |
| Aetna | EBR FI | $1,156.72 | ↓ -37% |
| Cigna | Commercial | $1,217.60 | ↓ -33% |
| Aetna | EBR ASO | $1,217.60 | ↓ -33% |
| Coventry/First Health | Commercial | $1,339.36 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,511.51 | ↓ -17% |
| InterGroup | PPO | $1,522.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,674.20 | ↓ -8% |
| UPMC Health Plan | Commercial | $1,740.05 | ↓ -5% |
| Cigna Behavioral Health | Commercial | $1,826.40 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,024.23 | ↑ +11% |
| Private Health Care Systems | PPO | $2,283.00 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $2,435.20 | ↑ +33% |
| American Healthcare Group | Commercial | $2,435.20 | ↑ +33% |
| National Provider Network | PPO | $2,496.08 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,739.60 | ↑ +50% |
| Health Payors Organization | Commercial | $2,739.60 | ↑ +50% |
| UPMC Health Plan | CHIP | $2,769.59 | ↑ +52% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl ndwellg tun pleural cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,684.20 | $272.28 – $2,385.95 |
| UPMC Presbyterian | Pittsburgh | $4,765.20 | $307.93 – $6,750.70 |
| UPMC St. Margaret | Pittsburgh | $1,543.80 | $272.28 – $2,187.05 |
| UPMC Northwest | Seneca | $2,026.20 | $272.28 – $2,870.45 |
| UPMC Somerset | Somerset | $2,304.60 | $272.28 – $2,880.75 |
| UPMC Williamsport | Williamsport | $1,119.00 | $272.28 – $1,492.00 |