UPMC · Pittsburgh, PA
28
In-network payers
193
Disclosed rate categories
446
Beds
3
Care quality
Upmc Mercy is a 446-bed voluntary non-profit - private hospital in Pittsburgh, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 193 disclosed rate categories.
CCN (Medicare provider number)
390028
NPI
1881695146
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
446
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc Mercy most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$1,704 - $3,981
from 4 insurers · median $2,920
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$5,190 - $5,518
from 2 insurers · median $5,354
745 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 70450
$800 - $1,316
from 4 insurers · median $966
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$1,474 - $2,779
from 4 insurers · median $2,034
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$2,699 - $4,396
from 4 insurers · median $3,512
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$975 - $1,693
from 4 insurers · median $1,336
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$895 - $2,323
from 4 insurers · median $1,639
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$52,042
negotiated rate
21 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45380
$1,692 - $2,730
from 4 insurers · median $2,264
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,134 - $2,261
from 4 insurers · median $1,637
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$2,667 - $4,396
from 4 insurers · median $3,221
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,445 - $2,010
from 4 insurers · median $1,520
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$37 - $308
from 4 insurers · median $226
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$159,531
negotiated rate
Hospital reports cardiac thoracic surgery services to CMS
Ultrasound
CPT 76830
$338 - $951
from 4 insurers · median $793
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$1,264 - $2,784
from 4 insurers · median $1,923
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$1,765 - $2,784
from 4 insurers · median $1,965
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,606 - $2,962
from 4 insurers · median $2,454
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$58 - $195
from 4 insurers · median $164
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$3,939 - $5,866
from 2 insurers · median $4,902
27 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Gynecology
CPT 58571
$5,835 - $6,359
from 2 insurers · median $6,097
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$3,939 - $12,878
from 2 insurers · median $8,409
30 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Ultrasound
CPT 76705
$303 - $585
from 4 insurers · median $476
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$3,430 - $8,513
from 2 insurers · median $5,971
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 17 | 1117% | 16 | 0 |
| Insurer B* | 17 | 836% | 11 | 6 |
| Insurer C* | 22 | 369% | 19 | 2 |
| Insurer D* | 24 | 259% | 14 | 8 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Mercy.
1400 Locust Street, Pittsburgh, PA 15219
(412) 232-8111
The nearest hospitals of similar type and size. Their rates are compared with Upmc Mercy for the same insurers and services above.
Allegheny General Hospital
▼ Rates typically 24% lower than Upmc Mercy (24 services)
West Penn Hospital
▼ Rates typically 24% lower than Upmc Mercy (24 services)
St. Clair Hospital
▼ Rates typically 34% lower than Upmc Mercy (24 services)
Jefferson Hospital
▼ Rates typically 52% lower than Upmc Mercy (24 services)
Forbes Hospital
▼ Rates typically 24% lower than Upmc Mercy (24 services)
The Washington Hospital
▼ Rates typically 41% lower than Upmc Mercy (23 services)
Upmc St Margaret
Upmc Shadyside
Upmc Magee-Womens Hospital
About Upmc Mercy's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Mercy range from $2,699 to $4,396 across 4 insurers. Cigna's rate is $4,396. The median at nearby comparable hospitals is $702. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Mercy range from $1,704 to $3,981 across 4 insurers. Aetna's rate is $2,862. The median at nearby comparable hospitals is $662. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Upmc Mercy range from $1,692 to $2,730 across 4 insurers. Aetna's rate is $2,730. The median at nearby comparable hospitals is $2,020. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Mercy has 446 beds. Facility type: Short Term Acute Care Hospital.
Upmc Mercy is located at 1400 Locust Street, Pittsburgh, PA 15219. Its main phone number is (412) 232-8111.
Upmc Mercy's CMS Certification Number (CCN), also called its Medicare provider number, is 390028.
The National Provider Identifier (NPI) on file for Upmc Mercy is 1881695146.
Upmc Mercy is affiliated with UPMC.
Upmc Mercy lists 28 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
193 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers