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Sec art mech thrmbc non-intracranial add-on at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$8,416.80
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.
$14,028.00
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.
$3,507.00 with Aetna vs $21,754.62 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 |
|---|---|---|---|
| Aetna | Medicare | $3,507.00 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3,511.91 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $3,823.67 | ↓ -55% |
| Aetna | Neighborhood Network | $3,913.81 | ↓ -54% |
| UPMC Health Plan | Commercial | $3,959.04 | ↓ -53% |
| Aetna | Home Depot Employer Group | $4,271.53 | ↓ -49% |
| Aetna | NBR ASO/FI | $4,348.68 | ↓ -48% |
| Cigna | New Business ASO | $4,769.52 | ↓ -43% |
| Bravo | Medicare | $4,909.80 | ↓ -42% |
| Aetna | EBR FI | $5,330.64 | ↓ -37% |
| Aetna | EBR ASO | $5,611.20 | ↓ -33% |
| Cigna | Commercial | $5,611.20 | ↓ -33% |
| Coventry/First Health | Commercial | $6,172.32 | ↓ -27% |
| UPMC Health Plan | CHIP | $6,301.51 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,014.00 | ↓ -17% |
| InterGroup | PPO | $7,014.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $7,715.40 | ↓ -8% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,909.53 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $8,416.80 | ↑ +0% |
| Private Health Care Systems | PPO | $10,521.00 | ↑ +25% |
| Highmark BCBS of PA | Managed Care | $10,592.02 | ↑ +26% |
| American Healthcare Group | Commercial | $11,222.40 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $11,222.40 | ↑ +33% |
| National Provider Network | PPO | $11,502.96 | ↑ +37% |
| Health Payors Organization | Commercial | $12,625.20 | ↑ +50% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $12,625.20 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $16,244.36 | ↑ +93% |
| Highmark BCBS of PA | Commercial - Indemnity | $21,754.62 | ↑ +158% |
Visitor-reported prices
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Sec art mech thrmbc non-intracranial add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $14,101.80 | $2,848.28 – $19,977.55 |
| UPMC Presbyterian | Pittsburgh | $14,806.20 | $242.86 – $20,975.45 |
| UPMC St. Margaret | Pittsburgh | $20,158.80 | $2,828.14 – $28,558.30 |
| UPMC Somerset | Somerset | $12,577.80 | $232.74 – $15,722.25 |
| UPMC Williamsport | Williamsport | $5,352.00 | $259.05 – $7,136.00 |