healthcosts.net
System pacing micra av at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$28,759.80
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.
$47,933.00
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.
$3,392.57 with Highmark BCBS of PA vs $17,916.30 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 | $3,392.57 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4,777.68 | ↓ -83% |
| Aetna | Medicare | $4,976.75 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,123.53 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,216.62 | ↓ -82% |
| Aetna | Neighborhood Network | $5,554.05 | ↓ -81% |
| Aetna | Home Depot Employer Group | $6,061.68 | ↓ -79% |
| Aetna | NBR ASO/FI | $6,171.17 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,569.31 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6,734.54 | ↓ -77% |
| Cigna | New Business ASO | $6,768.38 | ↓ -76% |
| Highmark BCBS of PA | Managed Care | $6,861.07 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,985.54 | ↓ -76% |
| Aetna | EBR FI | $7,564.66 | ↓ -74% |
| Aetna | EBR ASO | $7,962.80 | ↓ -72% |
| Cigna | Commercial | $7,962.80 | ↓ -72% |
| Coventry/First Health | Commercial | $8,759.08 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $9,953.50 | ↓ -65% |
| InterGroup | PPO | $9,953.50 | ↓ -65% |
| UPMC Health Plan | Commercial | $10,335.28 | ↓ -64% |
| Cigna Behavioral Health | Commercial | $11,944.20 | ↓ -58% |
| UPMC Health Plan | CHIP | $13,088.54 | ↓ -54% |
| Private Health Care Systems | PPO | $14,930.25 | ↓ -48% |
| American Healthcare Group | Commercial | $15,925.60 | ↓ -45% |
| InterGroup | Approved National Affiliated PPO Business | $15,925.60 | ↓ -45% |
| National Provider Network | PPO | $16,323.74 | ↓ -43% |
| Health Payors Organization | Commercial | $17,916.30 | ↓ -38% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $17,916.30 | ↓ -38% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
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System pacing micra av at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $30,110.40 | $2,375.00 – $18,993.11 |
| UPMC Presbyterian | Pittsburgh | $45,109.20 | $1,201.56 – $21,161.84 |
| UPMC Northwest | Seneca | $6,175.20 | $2,573.00 – $15,838.31 |
| UPMC Somerset | Somerset | $9,256.80 | $3,085.60 – $11,571.00 |
| UPMC Williamsport | Williamsport | $22,146.00 | $0.20 – $0.90 |