healthcosts.net
Splint rstrc wrst/cmc right med at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$129.60
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.
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What you pay up front if you don't use insurance.
$216.00
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.
$48.31 with Highmark BCBS of PA vs $413.56 with UPMC Health Plan — 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 | $48.31 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicaid | $51.84 | ↓ -60% |
| Aetna | Medicare | $54.00 | ↓ -58% |
| Aetna | Neighborhood Network | $60.26 | ↓ -54% |
| Aetna | Home Depot Employer Group | $65.77 | ↓ -49% |
| Aetna | NBR ASO/FI | $66.96 | ↓ -48% |
| Highmark BCBS of PA | Managed Care - Social Mission | $72.96 | ↓ -44% |
| Cigna | New Business ASO | $73.44 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $74.28 | ↓ -43% |
| Aetna | EBR FI | $82.08 | ↓ -37% |
| Aetna | EBR ASO | $86.40 | ↓ -33% |
| Cigna | Commercial | $86.40 | ↓ -33% |
| Coventry/First Health | Commercial | $95.04 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $97.70 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Indemnity | $99.47 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $108.00 | ↓ -17% |
| InterGroup | PPO | $108.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $118.80 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $129.60 | ↑ +0% |
| Private Health Care Systems | PPO | $162.00 | ↑ +25% |
| American Healthcare Group | Commercial | $172.80 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $172.80 | ↑ +33% |
| National Provider Network | PPO | $177.12 | ↑ +37% |
| Health Payors Organization | Commercial | $194.40 | ↑ +50% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $194.40 | ↑ +50% |
| UPMC Health Plan | Commercial | $326.56 | ↑ +152% |
| UPMC Health Plan | CHIP | $413.56 | ↑ +219% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
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Splint rstrc wrst/cmc right med at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $137.40 | $7.04 – $600.13 |
| UPMC Presbyterian | Pittsburgh | $133.20 | $24.95 – $668.65 |
| UPMC St. Margaret | Pittsburgh | $131.40 | $43.80 – $507.47 |
| UPMC Muncy | Muncy | $122.40 | $26.61 – $183.60 |
| UPMC Northwest | Seneca | $97.20 | $40.50 – $500.44 |
| UPMC Wellsboro | Wellsboro | $148.00 | $26.61 – $166.50 |
| UPMC Williamsport | Williamsport | $106.20 | $26.61 – $159.30 |