healthcosts.net
Augment injectable kit 3.0cc at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$12,612.00
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.
$21,020.00
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.
$449.64 with Highmark Wholecare (prev Gateway) vs $6,473.84 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $449.64 | ↓ -96% |
| Aetna | CHIP/Medicaid | $674.46 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $711.93 | ↓ -94% |
| Aetna | Medicare | $936.75 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $1,236.51 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,267.61 | ↓ -90% |
| Aetna | First Health | $1,873.50 | ↓ -85% |
| Highmark BCBS of PA | Medicare Advantage | $1,873.50 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,873.50 | ↓ -85% |
| Highmark BCBS of PA | Managed Care | $1,910.97 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,910.97 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,985.91 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,985.91 | ↓ -84% |
| Preferred Healthcare System | PPO | $2,435.55 | ↓ -81% |
| Coventry/First Health | Commercial | $2,622.90 | ↓ -79% |
| Fidelis | Medicare | $2,810.25 | ↓ -78% |
| InterGroup | InterGroup Services Corporation | $2,810.25 | ↓ -78% |
| Health Coalition Partners | Intergroup | $2,997.60 | ↓ -76% |
| Multiplan | PPO | $2,997.60 | ↓ -76% |
| Private Health Care Systems | PPO | $2,997.60 | ↓ -76% |
| SelectCare | Commercial | $2,997.60 | ↓ -76% |
| Health Payors Organization | Commercial | $3,184.95 | ↓ -75% |
| Humana | Commercial | $3,184.95 | ↓ -75% |
| InterGroup | Approved National Affiliated PPO Business | $3,184.95 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $3,821.94 | ↓ -70% |
| UPMC Health Plan | Commercial | $6,473.84 | ↓ -49% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Augment injectable kit 3.0cc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,686.60 | $674.64 – $3,161.77 |
| UPMC Passavant-McCandless | Pittsburgh | $1,686.00 | $618.20 – $5,810.39 |
| UPMC St. Margaret | Pittsburgh | $8,418.60 | $530.40 – $4,913.26 |
| UPMC Muncy | Muncy | $8,028.60 | $2,007.15 – $12,042.90 |
| UPMC Northwest | Seneca | $7,492.80 | $3,122.00 – $10,614.80 |
| UPMC Wellsboro | Wellsboro | $9,247.20 | $2,080.62 – $10,403.10 |
| UPMC Williamsport | Williamsport | $7,646.40 | $2,548.80 – $11,469.60 |