healthcosts.net
Screening prostate cancer PSA at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$96.00
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.
$160.00
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.
$16.10 with UPMC Health Plan vs $156.10 with Highmark BCBS of PA — 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 | $16.10 | ↓ -83% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $19.82 | ↓ -79% |
| Aetna of PA | Medicare | $20.28 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $20.85 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $20.85 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.85 | ↓ -78% |
| Aetna | Medicare | $21.24 | ↓ -78% |
| UPMC Health Plan | Commercial | $39.89 | ↓ -58% |
| Aetna | Neighborhood Network | $41.85 | ↓ -56% |
| Aetna | Home Depot Employer Group | $45.67 | ↓ -52% |
| Aetna | NBR ASO/FI | $46.50 | ↓ -52% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $48.83 | ↓ -49% |
| Cigna | New Business ASO | $51.00 | ↓ -47% |
| Bravo | Medicare | $52.50 | ↓ -45% |
| Aetna | EBR FI | $57.00 | ↓ -41% |
| Cigna | Commercial | $60.00 | ↓ -38% |
| Aetna | EBR ASO | $60.00 | ↓ -38% |
| Coventry/First Health | Commercial | $66.00 | ↓ -31% |
| Highmark BCBS of PA | Managed Care - Social Mission | $73.75 | ↓ -23% |
| InterGroup | PPO | $75.00 | ↓ -22% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $82.50 | ↓ -14% |
| Cigna Behavioral Health | Commercial | $90.00 | ↓ -6% |
| Highmark BCBS of PA | Managed Care | $98.75 | ↑ +3% |
| Private Health Care Systems | PPO | $112.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $116.56 | ↑ +21% |
| InterGroup | Approved National Affiliated PPO Business | $120.00 | ↑ +25% |
| American Healthcare Group | Commercial | $120.00 | ↑ +25% |
| National Provider Network | PPO | $123.00 | ↑ +28% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $135.00 | ↑ +41% |
| Health Payors Organization | Commercial | $135.00 | ↑ +41% |
| UPMC Health Plan | CHIP | $144.59 | ↑ +51% |
| Highmark BCBS of PA | Commercial - Indemnity | $156.10 | ↑ +63% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Screening prostate cancer PSA at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $96.00 | $17.94 – $136.00 |
| UPMC Presbyterian | Pittsburgh | $96.00 | $14.14 – $136.00 |
| UPMC St. Margaret | Pittsburgh | $96.00 | $16.67 – $136.00 |
| UPMC Muncy | Muncy | $100.80 | $15.08 – $151.20 |
| UPMC Northwest | Seneca | $96.00 | $17.51 – $136.00 |
| UPMC Somerset | Somerset | $97.80 | $13.55 – $94.50 |
| UPMC Wellsboro | Wellsboro | $120.00 | $15.08 – $135.00 |
| UPMC Williamsport | Williamsport | $96.00 | $15.08 – $144.00 |