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Tc-99m pyroph diag per dose up to 25 mci at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$244.80
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.
$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.
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The hospital's undiscounted list price — almost no one pays this.
$61.04 with Highmark BCBS of PA vs $367.20 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 | $61.04 | ↓ -75% |
| Aetna | Medicare | $102.00 | ↓ -58% |
| Aetna | Neighborhood Network | $113.83 | ↓ -54% |
| Aetna | Home Depot Employer Group | $124.24 | ↓ -49% |
| Aetna | NBR ASO/FI | $126.48 | ↓ -48% |
| Cigna | New Business ASO | $138.72 | ↓ -43% |
| Bravo | Medicare | $142.80 | ↓ -42% |
| UPMC Health Plan | Commercial | $146.15 | ↓ -40% |
| Aetna | EBR FI | $155.04 | ↓ -37% |
| Aetna | EBR ASO | $163.20 | ↓ -33% |
| Cigna | Commercial | $163.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $173.69 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $178.63 | ↓ -27% |
| Coventry/First Health | Commercial | $179.52 | ↓ -27% |
| UPMC Health Plan | CHIP | $185.08 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $204.00 | ↓ -17% |
| InterGroup | PPO | $204.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $224.40 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $232.62 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Indemnity | $239.24 | ↓ -2% |
| Cigna Behavioral Health | Commercial | $244.80 | ↑ +0% |
| Private Health Care Systems | PPO | $306.00 | ↑ +25% |
| American Healthcare Group | Commercial | $326.40 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $326.40 | ↑ +33% |
| National Provider Network | PPO | $334.56 | ↑ +37% |
| Health Payors Organization | Commercial | $367.20 | ↑ +50% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $367.20 | ↑ +50% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m pyroph diag per dose up to 25 mci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $382.20 | $61.62 – $541.45 |
| UPMC Presbyterian | Pittsburgh | $602.40 | $61.62 – $853.40 |
| UPMC St. Margaret | Pittsburgh | $276.00 | $61.62 – $391.00 |
| UPMC Muncy | Muncy | $126.00 | $31.50 – $189.00 |
| UPMC Northwest | Seneca | $93.60 | $39.00 – $223.96 |
| UPMC Somerset | Somerset | $232.20 | $60.43 – $290.25 |
| UPMC Wellsboro | Wellsboro | $152.00 | $34.20 – $171.00 |
| UPMC Williamsport | Williamsport | $126.00 | $56.70 – $189.00 |