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Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$15,638.40
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.
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What you pay up front if you don't use insurance.
$26,064.00
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.
$24.24 with Highmark Wholecare (prev Gateway) vs $2,897.93 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $24.24 | ↓ -100% |
| Aetna | CHIP/Medicaid | $36.36 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $38.38 | ↓ -100% |
| Aetna | Medicare | $50.50 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $66.66 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $68.34 | ↓ -100% |
| Aetna | First Health | $101.00 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $101.00 | ↓ -99% |
| Preferred Healthcare System | PPO | $131.30 | ↓ -99% |
| Coventry/First Health | Commercial | $141.40 | ↓ -99% |
| Fidelis | Medicare | $151.50 | ↓ -99% |
| InterGroup | InterGroup Services Corporation | $151.50 | ↓ -99% |
| Health Coalition Partners | Intergroup | $161.60 | ↓ -99% |
| Multiplan | PPO | $161.60 | ↓ -99% |
| Private Health Care Systems | PPO | $161.60 | ↓ -99% |
| SelectCare | Commercial | $161.60 | ↓ -99% |
| Health Payors Organization | Commercial | $171.70 | ↓ -99% |
| Humana | Commercial | $171.70 | ↓ -99% |
| InterGroup | Approved National Affiliated PPO Business | $171.70 | ↓ -99% |
| Highmark BCBS of PA | Medicare Advantage | $650.96 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,082.02 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,101.65 | ↓ -93% |
| Highmark BCBS of PA | Managed Care | $1,448.97 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,475.23 | ↓ -91% |
| UPMC Health Plan | Commercial | $2,140.41 | ↓ -86% |
| Highmark BCBS of PA | UPMC Emergent | $2,897.93 | ↓ -81% |
| 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 stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $6,811.80 | $34.80 – $1,045.36 |
| UPMC Passavant-McCandless | Pittsburgh | $5,142.60 | $650.96 – $5,643.15 |
| UPMC St. Margaret | Pittsburgh | $11,917.80 | $650.96 – $5,979.75 |
| UPMC Northwest | Seneca | $2,530.20 | $1,054.25 – $3,584.45 |
| UPMC Somerset | Somerset | $5,022.00 | $141.00 – $792.93 |
| UPMC Williamsport | Williamsport | $1,989.60 | $663.20 – $2,984.40 |