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Angioplasty tib/pero/unilat/ea add 37232 at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$19,576.20
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.
$32,627.00
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.
$187.55 with UPMC Health Plan vs $27,732.95 with InterGroup — 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 Medicaid | $187.55 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $204.60 | ↓ -99% |
| Aetna | CHIP/Medicaid | $221.65 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $252.85 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $257.11 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $265.42 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $269.80 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $290.57 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $2,023.83 | ↓ -90% |
| Highmark BCBS of PA | Medicare Advantage | $2,208.47 | ↓ -89% |
| Multiplan | Worker's Compensation | $2,353.29 | ↓ -88% |
| UPMC Health Plan | Commercial | $3,812.11 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,474.51 | ↓ -72% |
| Highmark BCBS of PA | Managed Care | $7,331.09 | ↓ -63% |
| Aetna | Medicare | $8,156.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $11,243.26 | ↓ -43% |
| Highmark BCBS of PA | UPMC Emergent | $14,662.18 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Indemnity | $15,057.15 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $16,313.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $21,207.55 | ↑ +8% |
| Coventry/First Health | Commercial | $22,838.90 | ↑ +17% |
| Fidelis | Medicare | $24,470.25 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $24,470.25 | ↑ +25% |
| Health Coalition Partners | Intergroup | $26,101.60 | ↑ +33% |
| Multiplan | PPO | $26,101.60 | ↑ +33% |
| Private Health Care Systems | PPO | $26,101.60 | ↑ +33% |
| SelectCare | Commercial | $26,101.60 | ↑ +33% |
| Health Payors Organization | Commercial | $27,732.95 | ↑ +42% |
| Humana | Commercial | $27,732.95 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $27,732.95 | ↑ +42% |
Visitor-reported prices
Comments
Angioplasty tib/pero/unilat/ea add 37232 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $41,503.80 | $1,795.89 – $58,797.05 |
| UPMC Mercy | Pittsburgh | $28,104.00 | $187.55 – $42,156.00 |
| UPMC St. Margaret | Pittsburgh | $16,829.40 | $1,795.89 – $23,841.65 |
| UPMC Northwest | Seneca | $27,920.40 | $1,795.89 – $39,553.90 |
| UPMC Somerset | Somerset | $8,640.60 | $196.07 – $10,800.75 |
| UPMC Williamsport | Williamsport | $4,394.40 | $218.24 – $5,859.20 |