healthcosts.net
An fluoro guide for cvp at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$897.00
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.
$1,495.00
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.
$55.51 with United Healthcare Community Plan for Families vs $1,270.75 with InterGroup — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $55.51 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $66.41 | ↓ -93% |
| Aetna | CHIP/Medicaid | $78.48 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $89.53 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $91.04 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $93.98 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $95.53 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $102.88 | ↓ -89% |
| Highmark BCBS of PA | Medicare Advantage | $108.50 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $145.68 | ↓ -84% |
| Multiplan | Worker's Compensation | $169.40 | ↓ -81% |
| UPMC Health Plan | Commercial | $186.29 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $268.96 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $360.17 | ↓ -60% |
| Aetna | Medicare | $373.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $507.29 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Indemnity | $679.38 | ↓ -24% |
| Highmark BCBS of PA | UPMC Emergent | $720.33 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $747.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $971.75 | ↑ +8% |
| Coventry/First Health | Commercial | $1,046.50 | ↑ +17% |
| Fidelis | Medicare | $1,121.25 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $1,121.25 | ↑ +25% |
| Health Coalition Partners | Intergroup | $1,196.00 | ↑ +33% |
| Multiplan | PPO | $1,196.00 | ↑ +33% |
| Private Health Care Systems | PPO | $1,196.00 | ↑ +33% |
| SelectCare | Commercial | $1,196.00 | ↑ +33% |
| Health Payors Organization | Commercial | $1,270.75 | ↑ +42% |
| Humana | Commercial | $1,270.75 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $1,270.75 | ↑ +42% |
Visitor-reported prices
Comments
An fluoro guide for cvp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $559.80 | $66.41 – $793.05 |
| UPMC Mercy | Pittsburgh | $528.00 | $66.41 – $792.00 |
| UPMC St. Margaret | Pittsburgh | $574.80 | $66.41 – $814.30 |
| UPMC Muncy | Muncy | $1,275.00 | $59.21 – $1,700.00 |
| UPMC Northwest | Seneca | $429.60 | $66.41 – $608.60 |
| UPMC Somerset | Somerset | $450.00 | $53.20 – $201.75 |
| UPMC Wellsboro | Wellsboro | $1,542.40 | $59.21 – $1,735.20 |
| UPMC Williamsport | Williamsport | $1,275.00 | $59.21 – $1,700.00 |