CMS Price Transparency Data

CT scan, sinuses

Facility: UPMC Mercy

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$145
about 1.4× the $107 Medicare rate · typically $109–$201
modeled estimate · not a bill or quote
What this hospital charges insurers
$199
Above the fair price
about $54 over the fair price · 1.9× Medicare
Medicare pays $107 Fair price $145 This hospital $199 Cash price $1,950 Hospital's list price $3,250

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $88 Priciest $199

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, sinuses is about $145 (about 1.4× the $107 Medicare rate). UPMC Mercy charges insurers about $199, or about $1,950 in cash — above the fair price. Located in Pittsburgh, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $145. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $150 140%
Blue Cross Blue Shieldmajor $109 - $1,545 102%
Aetnamajor $106 - $1,300 99%
Cignamajor $1,105 - $1,950 1035%
AmeriHealth $109 - $206 102%
UPMC Health Plan $85 - $849 80%
+ 7 smaller / regional plans $109 - $2,925
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1400 Locust Street, Pittsburgh, PA 15219
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals