healthcosts.net
Bone Density Scan (DEXA) at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$285.00
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.
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What you pay up front if you don't use insurance.
$475.00
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.
$62.33 with United Healthcare Community Plan for Families vs $808.91 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $62.33 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $66.12 | ↓ -77% |
| Aetna | CHIP/Medicaid | $78.14 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $89.14 | ↓ -69% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $90.65 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $93.57 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $95.12 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $102.44 | ↓ -64% |
| AmeriHealth Caritas | Medicare | $109.49 | ↓ -62% |
| United Healthcare | Medicare | $109.49 | ↓ -62% |
| Cigna Lifesource | Medicare Transplant | $109.49 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.49 | ↓ -62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.49 | ↓ -62% |
| Aetna | Medicare | $111.52 | ↓ -61% |
| Aetna of PA | Medicare | $111.52 | ↓ -61% |
| Highmark BCBS of PA | Medicare Advantage | $121.84 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $199.17 | ↓ -30% |
| UPMC Health Plan | Commercial | $222.73 | ↓ -22% |
| Multiplan | Worker's Compensation | $231.59 | ↓ -19% |
| Highmark BCBS of PA | Managed Care - Social Mission | $302.03 | ↑ +6% |
| Preferred Healthcare System | PPO | $308.75 | ↑ +8% |
| Coventry/First Health | Commercial | $332.50 | ↑ +17% |
| Fidelis | Medicare | $356.25 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $356.25 | ↑ +25% |
| Health Coalition Partners | Intergroup | $380.00 | ↑ +33% |
| Private Health Care Systems | PPO | $380.00 | ↑ +33% |
| SelectCare | Commercial | $380.00 | ↑ +33% |
| Multiplan | PPO | $380.00 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $403.75 | ↑ +42% |
| Health Payors Organization | Commercial | $403.75 | ↑ +42% |
| Humana | Commercial | $403.75 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $404.46 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $569.67 | ↑ +100% |
| Highmark BCBS of PA | Commercial - Indemnity | $762.93 | ↑ +168% |
| Highmark BCBS of PA | UPMC Emergent | $808.91 | ↑ +184% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bone Density Scan (DEXA) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $295.80 | $66.12 – $427.80 |
| UPMC Mercy | Pittsburgh | $240.00 | $66.12 – $360.00 |
| UPMC Passavant-McCandless | Pittsburgh | $240.00 | $66.12 – $340.00 |
| UPMC Carlisle | Carlisle | $262.80 | $60.01 – $372.30 |
| UPMC Altoona | Altoona | $240.00 | $51.94 – $320.00 |
| UPMC Bedford | Everett | $240.00 | $36.58 – $360.00 |
| UPMC Cole | Coudersport | $351.60 | $38.28 – $468.80 |
| UPMC Community Osteopathic | Harrisburg | $262.80 | $11.20 – $305.26 |