Transparent film >16<=48 in at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$3.60
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.
$6.00
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.
$1.00 with Aetna vs $24.14 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | Medicare | $1.00 | ↓ -72% |
| Aetna | Neighborhood Network | $1.12 | ↓ -69% |
| Aetna | Home Depot Employer Group | $1.22 | ↓ -66% |
| Aetna | NBR ASO/FI | $1.24 | ↓ -66% |
| Cigna | New Business ASO | $1.36 | ↓ -62% |
| Bravo | Medicare | $1.40 | ↓ -61% |
| Aetna | EBR FI | $1.52 | ↓ -58% |
| Aetna | EBR ASO | $1.60 | ↓ -56% |
| Cigna | Commercial | $1.60 | ↓ -56% |
| Coventry/First Health | Commercial | $1.76 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $2.00 | ↓ -44% |
| InterGroup | PPO | $2.00 | ↓ -44% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2.20 | ↓ -39% |
| Cigna Behavioral Health | Commercial | $2.40 | ↓ -33% |
| Private Health Care Systems | PPO | $3.00 | ↓ -17% |
| InterGroup | Approved National Affiliated PPO Business | $3.20 | ↓ -11% |
| American Healthcare Group | Commercial | $3.20 | ↓ -11% |
| National Provider Network | PPO | $3.28 | ↓ -9% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $3.60 | ↑ +0% |
| Health Payors Organization | Commercial | $3.60 | ↑ +0% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $7.62 | ↑ +112% |
| UPMC Work Partners | Workers Comp | $9.93 | ↑ +176% |
| Highmark BCBS of PA | Managed Care - Social Mission | $11.51 | ↑ +220% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $11.72 | ↑ +226% |
| Highmark BCBS of PA | Managed Care | $15.41 | ↑ +328% |
| Highmark BCBS of PA | Commercial - Indemnity | $15.69 | ↑ +336% |
| UPMC Health Plan | Commercial | $19.06 | ↑ +429% |
| UPMC Health Plan | CHIP | $24.14 | ↑ +571% |
Visitor-reported prices
Comments
Transparent film >16<=48 in at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $33.00 | $4.06 – $24.14 |
| UPMC Passavant-McCandless | Pittsburgh | $4.20 | $7.69 – $35.02 |
| UPMC Presbyterian | Pittsburgh | $47.40 | $4.64 – $39.02 |
| UPMC St. Margaret | Pittsburgh | $34.20 | $7.69 – $29.62 |
| UPMC Altoona | Altoona | $3.00 | $2.00 – $24.14 |
| UPMC Bedford | Everett | $2.40 | $1.00 – $24.14 |
| UPMC East | Monroeville | $3.60 | $1.00 – $24.14 |
| UPMC Hamot | Erie | $3.00 | $7.62 – $9.93 |