healthcosts.net
Sling suprapubic suburetheral at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$19,302.00
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.
$32,170.00
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.
$885.46 with Highmark BCBS of PA vs $22,882.50 with Multiplan — 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 | $885.46 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,337.24 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,361.53 | ↓ -93% |
| Highmark BCBS of PA | Managed Care | $1,790.73 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,823.22 | ↓ -91% |
| UPMC Health Plan | Commercial | $3,171.99 | ↓ -84% |
| UPMC Health Plan | CHIP | $4,016.99 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6,102.00 | ↓ -68% |
| Aetna | Medicare | $6,356.25 | ↓ -67% |
| Aetna | Neighborhood Network | $7,093.57 | ↓ -63% |
| Aetna | Home Depot Employer Group | $7,741.91 | ↓ -60% |
| Aetna | NBR ASO/FI | $7,881.75 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8,390.25 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8,601.28 | ↓ -55% |
| Cigna | New Business ASO | $8,644.50 | ↓ -55% |
| Aetna | EBR FI | $9,661.50 | ↓ -50% |
| Aetna | EBR ASO | $10,170.00 | ↓ -47% |
| Cigna | Commercial | $10,170.00 | ↓ -47% |
| Coventry/First Health | Commercial | $11,187.00 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicare | $12,712.50 | ↓ -34% |
| InterGroup | PPO | $12,712.50 | ↓ -34% |
| Cigna Behavioral Health | Commercial | $15,255.00 | ↓ -21% |
| Private Health Care Systems | PPO | $19,068.75 | ↓ -1% |
| American Healthcare Group | Commercial | $20,340.00 | ↑ +5% |
| InterGroup | Approved National Affiliated PPO Business | $20,340.00 | ↑ +5% |
| National Provider Network | PPO | $20,848.50 | ↑ +8% |
| Health Payors Organization | Commercial | $22,882.50 | ↑ +19% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $22,882.50 | ↑ +19% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
Comments
Sling suprapubic suburetheral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $7,586.40 | $707.52 – $5,829.16 |
| UPMC Presbyterian | Pittsburgh | $21,560.40 | $455.40 – $6,494.76 |
| UPMC Muncy | Muncy | $4,039.80 | $646.80 – $3,880.80 |
| UPMC Northwest | Seneca | $3,137.40 | $1,307.25 – $4,860.92 |
| UPMC Wellsboro | Wellsboro | $4,885.60 | $703.98 – $3,519.90 |
| UPMC Williamsport | Williamsport | $3,847.20 | $921.60 – $4,147.20 |