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Stent/athrectomy/fem/pop/unilat 37227 at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$60,352.80
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.
$100,588.00
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.
$690.34 with UPMC Health Plan vs $160,828.88 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 Medicaid | $690.34 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $721.72 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $930.70 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $993.08 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,069.52 | ↓ -98% |
| UPMC Health Plan | Commercial | $13,236.48 | ↓ -78% |
| UPMC Health Plan | CHIP | $23,945.04 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $24,088.45 | ↓ -60% |
| Aetna | Medicare | $25,147.00 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $25,963.03 | ↓ -57% |
| Aetna | Neighborhood Network | $28,064.05 | ↓ -54% |
| Aetna | Home Depot Employer Group | $30,629.05 | ↓ -49% |
| Aetna | NBR ASO/FI | $31,182.28 | ↓ -48% |
| Cigna | New Business ASO | $34,199.92 | ↓ -43% |
| Bravo | Medicare | $35,205.80 | ↓ -42% |
| Aetna | EBR FI | $38,223.44 | ↓ -37% |
| Cigna | Commercial | $40,235.20 | ↓ -33% |
| Aetna | EBR ASO | $40,235.20 | ↓ -33% |
| Coventry/First Health | Commercial | $44,258.72 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $50,294.00 | ↓ -17% |
| InterGroup | PPO | $50,294.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $58,474.09 | ↓ -3% |
| Cigna Behavioral Health | Commercial | $60,352.80 | ↑ +0% |
| Private Health Care Systems | PPO | $75,441.00 | ↑ +25% |
| Highmark BCBS of PA | Managed Care | $78,305.33 | ↑ +30% |
| InterGroup | Approved National Affiliated PPO Business | $80,470.40 | ↑ +33% |
| American Healthcare Group | Commercial | $80,470.40 | ↑ +33% |
| National Provider Network | PPO | $82,482.16 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $90,529.20 | ↑ +50% |
| Health Payors Organization | Commercial | $90,529.20 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $120,092.29 | ↑ +99% |
| Highmark BCBS of PA | Commercial - Indemnity | $160,828.88 | ↑ +166% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Stent/athrectomy/fem/pop/unilat 37227 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $67,511.40 | $13,343.80 – $95,641.15 |
| UPMC Presbyterian | Pittsburgh | $55,112.40 | $690.34 – $78,075.90 |
| UPMC St. Margaret | Pittsburgh | $61,878.60 | $13,833.82 – $87,661.35 |
| UPMC Northwest | Seneca | $54,766.80 | $15,525.75 – $77,586.30 |
| UPMC Somerset | Somerset | $24,161.40 | $892.40 – $30,201.75 |
| UPMC Williamsport | Williamsport | $15,054.60 | $993.28 – $22,581.90 |