healthcosts.net
Aluminum - quest at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$189.60
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.
?
What you pay up front if you don't use insurance.
$316.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$25.18 with UPMC Work Partners vs $268.60 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Work Partners | Workers Comp | $25.18 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $27.52 | ↓ -85% |
| United Healthcare | Medicare | $27.52 | ↓ -85% |
| Cigna Lifesource | Medicare Transplant | $27.52 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $27.52 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $27.52 | ↓ -85% |
| Aetna | Medicare | $28.03 | ↓ -85% |
| Aetna of PA | Medicare | $28.03 | ↓ -85% |
| Multiplan | Worker's Compensation | $29.28 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $35.22 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $38.74 | ↓ -80% |
| UPMC Health Plan | Commercial | $39.34 | ↓ -79% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $42.26 | ↓ -78% |
| Aetna | CHIP/Medicaid | $45.79 | ↓ -76% |
| Highmark BCBS of PA | Medicare Advantage | $49.71 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $52.23 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $54.83 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.73 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $60.02 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $82.62 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $110.65 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $130.60 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Indemnity | $174.90 | ↓ -8% |
| Preferred Healthcare System | PPO | $205.40 | ↑ +8% |
| Coventry/First Health | Commercial | $221.20 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $221.29 | ↑ +17% |
| Fidelis | Medicare | $237.00 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $237.00 | ↑ +25% |
| Health Coalition Partners | Intergroup | $252.80 | ↑ +33% |
| Private Health Care Systems | PPO | $252.80 | ↑ +33% |
| SelectCare | Commercial | $252.80 | ↑ +33% |
| Multiplan | PPO | $252.80 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $268.60 | ↑ +42% |
| Health Payors Organization | Commercial | $268.60 | ↑ +42% |
| Humana | Commercial | $268.60 | ↑ +42% |
Visitor-reported prices
Comments
Aluminum - quest at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $110.40 | $23.68 – $156.40 |
| UPMC Mercy | Pittsburgh | $158.40 | $21.24 – $237.60 |
| UPMC St. Margaret | Pittsburgh | $178.20 | $22.00 – $252.45 |
| UPMC Muncy | Muncy | $319.20 | $25.18 – $425.60 |
| UPMC Northwest | Seneca | $168.00 | $23.11 – $238.00 |
| UPMC Somerset | Somerset | $128.40 | $25.18 – $160.50 |
| UPMC Wellsboro | Wellsboro | $386.40 | $25.18 – $434.70 |
| UPMC Williamsport | Williamsport | $319.20 | $25.18 – $425.60 |