healthcosts.net
Stent axios caut enh 15x10mm electrocaut at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$44,044.80
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.
?
What you pay up front if you don't use insurance.
$73,408.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$568.08 with Highmark Wholecare (prev Gateway) vs $10,655.51 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Wholecare (prev Gateway) | Medicaid | $568.08 | ↓ -99% |
| Aetna | Medicare | $591.75 | ↓ -99% |
| Aetna | Neighborhood Network | $660.39 | ↓ -99% |
| Aetna | Home Depot Employer Group | $720.75 | ↓ -98% |
| Aetna | NBR ASO/FI | $733.77 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $781.11 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $800.76 | ↓ -98% |
| Cigna | New Business ASO | $804.78 | ↓ -98% |
| Aetna | EBR FI | $899.46 | ↓ -98% |
| Aetna | EBR ASO | $946.80 | ↓ -98% |
| Cigna | Commercial | $946.80 | ↓ -98% |
| Coventry/First Health | Commercial | $1,041.48 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,183.50 | ↓ -97% |
| InterGroup | PPO | $1,183.50 | ↓ -97% |
| Cigna Behavioral Health | Commercial | $1,420.20 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,679.37 | ↓ -96% |
| Private Health Care Systems | PPO | $1,775.25 | ↓ -96% |
| American Healthcare Group | Commercial | $1,893.60 | ↓ -96% |
| InterGroup | Approved National Affiliated PPO Business | $1,893.60 | ↓ -96% |
| National Provider Network | PPO | $1,940.94 | ↓ -96% |
| Health Payors Organization | Commercial | $2,130.30 | ↓ -95% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,130.30 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,536.22 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,582.30 | ↓ -94% |
| Highmark BCBS of PA | Managed Care | $3,396.32 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,457.94 | ↓ -92% |
| Bravo | Medicare | $5,296.90 | ↓ -88% |
| UPMC Health Plan | Commercial | $8,414.05 | ↓ -81% |
| UPMC Health Plan | CHIP | $10,655.51 | ↓ -76% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Stent axios caut enh 15x10mm electrocaut at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $44,044.80 | $198.66 – $15,462.48 |
| UPMC Presbyterian | Pittsburgh | $58,726.80 | $51.12 – $17,228.06 |
| UPMC St. Margaret | Pittsburgh | $30,010.80 | $421.40 – $13,075.07 |
| UPMC Muncy | Muncy | $8,935.20 | $1,687.65 – $10,125.90 |
| UPMC Northwest | Seneca | $4,290.60 | $928.50 – $12,894.12 |
| UPMC Somerset | Somerset | $10,104.60 | $1,299.80 – $6,382.27 |
| UPMC Wellsboro | Wellsboro | $11,702.40 | $1,446.84 – $7,234.20 |
| UPMC Williamsport | Williamsport | $32,602.80 | $258.00 – $1,161.00 |