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Trauma partial team response w/critical care services level 4 at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$8,257.80
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.
$13,763.00
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.
$1,051.57 with UPMC Health Plan vs $8,675.10 with Health Payors Organization — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $1,051.57 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,294.53 | ↓ -84% |
| Aetna of PA | Medicare | $1,324.55 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $1,362.40 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,362.40 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,362.40 | ↓ -84% |
| Aetna | Medicare | $1,387.63 | ↓ -83% |
| Aetna | Neighborhood Network | $2,689.28 | ↓ -67% |
| Aetna | Home Depot Employer Group | $2,935.08 | ↓ -64% |
| Aetna | NBR ASO/FI | $2,988.09 | ↓ -64% |
| Cigna | New Business ASO | $3,277.26 | ↓ -60% |
| Bravo | Medicare | $3,373.65 | ↓ -59% |
| Aetna | EBR FI | $3,662.82 | ↓ -56% |
| Cigna | Commercial | $3,855.60 | ↓ -53% |
| Aetna | EBR ASO | $3,855.60 | ↓ -53% |
| UPMC Health Plan | Commercial | $4,205.59 | ↓ -49% |
| Coventry/First Health | Commercial | $4,241.16 | ↓ -49% |
| Highmark BCBS of PA | Managed Care | $4,424.30 | ↓ -46% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,424.30 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,597.80 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,597.80 | ↓ -44% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,819.50 | ↓ -42% |
| InterGroup | PPO | $4,819.50 | ↓ -42% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $5,301.45 | ↓ -36% |
| UPMC Health Plan | CHIP | $5,325.94 | ↓ -36% |
| Cigna Behavioral Health | Commercial | $5,783.40 | ↓ -30% |
| Private Health Care Systems | PPO | $7,229.25 | ↓ -12% |
| InterGroup | Approved National Affiliated PPO Business | $7,711.20 | ↓ -7% |
| American Healthcare Group | Commercial | $7,711.20 | ↓ -7% |
| National Provider Network | PPO | $7,903.98 | ↓ -4% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $8,675.10 | ↑ +5% |
| Health Payors Organization | Commercial | $8,675.10 | ↑ +5% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,753.40 | $782.34 – $1,955.85 |
| UPMC Presbyterian | Pittsburgh | $9,021.00 | $842.93 – $10,799.25 |
| UPMC Muncy | Muncy | $6,141.60 | $899.12 – $9,212.40 |
| UPMC Wellsboro | Wellsboro | $7,799.20 | $899.12 – $8,774.10 |
| UPMC Williamsport | Williamsport | $6,448.80 | $899.12 – $9,673.20 |