healthcosts.net
Bln dil 900ml preperitnl at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$6,502.20
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.
$10,837.00
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.
$59.04 with Aetna vs $3,228.28 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $59.04 | ↓ -99% |
| Aetna | Medicare | $82.00 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $164.00 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $180.40 | ↓ -97% |
| Preferred Healthcare System | PPO | $213.20 | ↓ -97% |
| Coventry/First Health | Commercial | $229.60 | ↓ -96% |
| Highmark BCBS of PA | Medicare Advantage | $237.34 | ↓ -96% |
| Fidelis | Medicare | $246.00 | ↓ -96% |
| InterGroup | InterGroup Services Corporation | $246.00 | ↓ -96% |
| Health Coalition Partners | Intergroup | $262.40 | ↓ -96% |
| Multiplan | PPO | $262.40 | ↓ -96% |
| Private Health Care Systems | PPO | $262.40 | ↓ -96% |
| SelectCare | Commercial | $262.40 | ↓ -96% |
| Health Payors Organization | Commercial | $278.80 | ↓ -96% |
| Humana | Commercial | $278.80 | ↓ -96% |
| InterGroup | Approved National Affiliated PPO Business | $278.80 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $394.50 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $401.66 | ↓ -94% |
| Highmark BCBS of PA | Managed Care | $528.29 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Indemnity | $537.87 | ↓ -92% |
| Highmark BCBS of PA | UPMC Emergent | $1,056.59 | ↓ -84% |
| UPMC Health Plan | Commercial | $3,228.28 | ↓ -50% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Bln dil 900ml preperitnl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,779.80 | $235.10 – $1,576.66 |
| UPMC Passavant-McCandless | Pittsburgh | $2,610.00 | $110.25 – $2,897.43 |
| UPMC St. Margaret | Pittsburgh | $2,017.80 | $176.00 – $2,450.07 |
| UPMC Muncy | Muncy | $375.60 | $93.90 – $563.40 |
| UPMC Northwest | Seneca | $2,067.60 | $407.00 – $2,416.16 |
| UPMC Wellsboro | Wellsboro | $2,731.20 | $102.24 – $511.20 |
| UPMC Williamsport | Williamsport | $646.20 | $290.79 – $969.30 |