healthcosts.net
Antithrombin iii activity at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$2,674.80
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.
$4,458.00
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.
$9.40 with Health Partners Plans (Jefferson Health Plan) vs $3,789.30 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $9.40 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $10.34 | ↓ -100% |
| UPMC Health Plan | Commercial | $10.71 | ↓ -100% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $11.28 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $11.71 | ↓ -100% |
| Aetna | CHIP/Medicaid | $12.22 | ↓ -100% |
| AmeriHealth Caritas | Medicare | $12.80 | ↓ -100% |
| United Healthcare | Medicare | $12.80 | ↓ -100% |
| Cigna Lifesource | Medicare Transplant | $12.80 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $12.80 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $12.80 | ↓ -100% |
| Aetna | Medicare | $13.04 | ↓ -100% |
| Aetna of PA | Medicare | $13.04 | ↓ -100% |
| Multiplan | Worker's Compensation | $13.62 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $13.94 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $14.63 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.87 | ↓ -99% |
| Highmark BCBS of PA | Medicare Advantage | $15.78 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $16.02 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $26.23 | ↓ -99% |
| Highmark BCBS of PA | Managed Care | $35.13 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $41.46 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity | $55.53 | ↓ -98% |
| Highmark BCBS of PA | UPMC Emergent | $70.26 | ↓ -97% |
| Preferred Healthcare System | PPO | $2,897.70 | ↑ +8% |
| Coventry/First Health | Commercial | $3,120.60 | ↑ +17% |
| Fidelis | Medicare | $3,343.50 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $3,343.50 | ↑ +25% |
| Health Coalition Partners | Intergroup | $3,566.40 | ↑ +33% |
| Private Health Care Systems | PPO | $3,566.40 | ↑ +33% |
| SelectCare | Commercial | $3,566.40 | ↑ +33% |
| Multiplan | PPO | $3,566.40 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $3,789.30 | ↑ +42% |
| Health Payors Organization | Commercial | $3,789.30 | ↑ +42% |
| Humana | Commercial | $3,789.30 | ↑ +42% |
Visitor-reported prices
Comments
Antithrombin iii activity at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $125.40 | $10.15 – $177.65 |
| UPMC Mercy | Pittsburgh | $175.20 | $9.88 – $262.80 |
| UPMC St. Margaret | Pittsburgh | $50.40 | $10.17 – $71.40 |
| UPMC Muncy | Muncy | $157.80 | $10.34 – $210.40 |
| UPMC Northwest | Seneca | $89.40 | $10.15 – $126.65 |
| UPMC Somerset | Somerset | $60.00 | $10.34 – $75.00 |
| UPMC Wellsboro | Wellsboro | $190.40 | $9.40 – $97.20 |
| UPMC Williamsport | Williamsport | $157.80 | $10.34 – $210.40 |