healthcosts.net
Assess aphasia/interp/rpt/per hr 96105 at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$753.00
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.
$1,255.00
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.
$36.00 with United Healthcare Community Plan for Families vs $1,066.75 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 | $36.00 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $55.00 | ↓ -93% |
| Aetna | CHIP/Medicaid | $65.00 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $74.15 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $75.40 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $77.83 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.12 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $85.21 | ↓ -89% |
| Highmark BCBS of PA | Medicare Advantage | $123.85 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $171.19 | ↓ -77% |
| Multiplan | Worker's Compensation | $199.06 | ↓ -74% |
| UPMC Health Plan | Commercial | $241.02 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $307.01 | ↓ -59% |
| Aetna | Medicare | $313.75 | ↓ -58% |
| Highmark BCBS of PA | Managed Care | $411.12 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $577.19 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $627.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $773.00 | ↑ +3% |
| Preferred Healthcare System | PPO | $815.75 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $822.24 | ↑ +9% |
| Coventry/First Health | Commercial | $878.50 | ↑ +17% |
| Fidelis | Medicare | $941.25 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $941.25 | ↑ +25% |
| Health Coalition Partners | Intergroup | $1,004.00 | ↑ +33% |
| Multiplan | PPO | $1,004.00 | ↑ +33% |
| Private Health Care Systems | PPO | $1,004.00 | ↑ +33% |
| SelectCare | Commercial | $1,004.00 | ↑ +33% |
| Health Payors Organization | Commercial | $1,066.75 | ↑ +42% |
| Humana | Commercial | $1,066.75 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $1,066.75 | ↑ +42% |
Visitor-reported prices
Comments
Assess aphasia/interp/rpt/per hr 96105 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $449.40 | $55.00 – $674.10 |
| UPMC Passavant-McCandless | Pittsburgh | $811.20 | $55.00 – $1,149.20 |
| UPMC Muncy | Muncy | $486.00 | $38.40 – $648.00 |
| UPMC Somerset | Somerset | $214.20 | $34.50 – $267.75 |
| UPMC Wellsboro | Wellsboro | $587.20 | $38.40 – $660.60 |