healthcosts.net
Stent bronch dumon sil 10x40mm at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$13,557.00
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.
$22,595.00
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.
$953.60 with Highmark BCBS of PA vs $7,631.10 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 | $953.60 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,440.15 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,466.31 | ↓ -89% |
| Highmark BCBS of PA | Managed Care | $1,928.54 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,963.53 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,034.96 | ↓ -85% |
| Aetna | Medicare | $2,119.75 | ↓ -84% |
| Aetna | Neighborhood Network | $2,365.64 | ↓ -83% |
| Aetna | Home Depot Employer Group | $2,581.86 | ↓ -81% |
| Aetna | NBR ASO/FI | $2,628.49 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,798.07 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,868.45 | ↓ -79% |
| Cigna | New Business ASO | $2,882.86 | ↓ -79% |
| Aetna | EBR FI | $3,222.02 | ↓ -76% |
| Aetna | EBR ASO | $3,391.60 | ↓ -75% |
| Cigna | Commercial | $3,391.60 | ↓ -75% |
| Coventry/First Health | Commercial | $3,730.76 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $4,239.50 | ↓ -69% |
| InterGroup | PPO | $4,239.50 | ↓ -69% |
| UPMC Health Plan | Commercial | $4,971.39 | ↓ -63% |
| Cigna Behavioral Health | Commercial | $5,087.40 | ↓ -62% |
| UPMC Health Plan | CHIP | $6,295.74 | ↓ -54% |
| Private Health Care Systems | PPO | $6,359.25 | ↓ -53% |
| American Healthcare Group | Commercial | $6,783.20 | ↓ -50% |
| InterGroup | Approved National Affiliated PPO Business | $6,783.20 | ↓ -50% |
| National Provider Network | PPO | $6,952.78 | ↓ -49% |
| Health Payors Organization | Commercial | $7,631.10 | ↓ -44% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $7,631.10 | ↓ -44% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
Comments
Stent bronch dumon sil 10x40mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $10,323.00 | $962.68 – $9,135.91 |
| UPMC Presbyterian | Pittsburgh | $22,262.40 | $962.68 – $15,509.10 |
| UPMC St. Margaret | Pittsburgh | $17,533.20 | $962.68 – $9,273.50 |
| UPMC Somerset | Somerset | $5,596.20 | $943.96 – $6,995.25 |
| UPMC Williamsport | Williamsport | $5,938.80 | $1,138.20 – $5,121.90 |