healthcosts.net
Application multi layer compression below knee (both sides) at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$554.40
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.
$924.00
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.
$30.32 with United Healthcare Community Plan for Families vs $1,048.07 with Highmark BCBS of PA — 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 | $30.32 | ↓ -95% |
| UPMC Health Plan | Commercial | $114.49 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $146.18 | ↓ -74% |
| Highmark BCBS of PA | Medicare Advantage | $153.72 | ↓ -72% |
| Aetna | CHIP/Medicaid | $166.32 | ↓ -70% |
| Multiplan | Worker's Compensation | $169.98 | ↓ -69% |
| Aetna | Medicare | $231.00 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $381.06 | ↓ -31% |
| Highmark Wholecare (prev Gateway) | Medicare | $462.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $508.20 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $510.29 | ↓ -8% |
| Preferred Healthcare System | PPO | $600.60 | ↑ +8% |
| Coventry/First Health | Commercial | $646.80 | ↑ +17% |
| Fidelis | Medicare | $693.00 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $693.00 | ↑ +25% |
| Health Coalition Partners | Intergroup | $739.20 | ↑ +33% |
| Multiplan | PPO | $739.20 | ↑ +33% |
| Private Health Care Systems | PPO | $739.20 | ↑ +33% |
| SelectCare | Commercial | $739.20 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $782.60 | ↑ +41% |
| Health Payors Organization | Commercial | $785.40 | ↑ +42% |
| Humana | Commercial | $785.40 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $785.40 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $1,020.58 | ↑ +84% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,048.07 | ↑ +89% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Application multi layer compression below knee (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $765.00 | $126.88 – $1,083.75 |
| UPMC Mercy | Pittsburgh | $322.80 | $125.40 – $484.20 |
| UPMC St. Margaret | Pittsburgh | $405.00 | $126.88 – $573.75 |
| UPMC Northwest | Seneca | $338.40 | $27.80 – $479.40 |
| UPMC Williamsport | Williamsport | $274.20 | $27.80 – $365.60 |