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Bra surgical elizabeth pink sm at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$202.80
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.
$338.00
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.
$14.88 with Highmark Wholecare (prev Gateway) vs $283.67 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $14.88 | ↓ -93% |
| Aetna | CHIP/Medicaid | $22.32 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $23.56 | ↓ -88% |
| Aetna | Medicare | $31.00 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $33.60 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $40.92 | ↓ -80% |
| Highmark BCBS of PA | Medicare Advantage | $47.57 | ↓ -77% |
| Aetna | First Health | $62.00 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $62.00 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $67.28 | ↓ -67% |
| Multiplan | Worker's Compensation | $78.23 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $79.07 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $80.50 | ↓ -60% |
| Preferred Healthcare System | PPO | $80.60 | ↓ -60% |
| Coventry/First Health | Commercial | $86.80 | ↓ -57% |
| Fidelis | Medicare | $93.00 | ↓ -54% |
| InterGroup | InterGroup Services Corporation | $93.00 | ↓ -54% |
| Health Coalition Partners | Intergroup | $99.20 | ↓ -51% |
| Multiplan | PPO | $99.20 | ↓ -51% |
| Private Health Care Systems | PPO | $99.20 | ↓ -51% |
| SelectCare | Commercial | $99.20 | ↓ -51% |
| Health Payors Organization | Commercial | $105.40 | ↓ -48% |
| Humana | Commercial | $105.40 | ↓ -48% |
| InterGroup | Approved National Affiliated PPO Business | $105.40 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $105.88 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Indemnity | $107.80 | ↓ -47% |
| Highmark BCBS of PA | UPMC Emergent | $211.77 | ↑ +4% |
| UPMC Health Plan | Commercial | $283.67 | ↑ +40% |
Visitor-reported prices
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Bra surgical elizabeth pink sm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $55.20 | $22.08 – $138.54 |
| UPMC Passavant-McCandless | Pittsburgh | $55.20 | $20.24 – $254.60 |
| UPMC St. Margaret | Pittsburgh | $55.20 | $18.40 – $215.29 |
| UPMC Muncy | Muncy | $148.80 | $13.80 – $73.60 |
| UPMC Northwest | Seneca | $55.20 | $23.00 – $212.31 |
| UPMC Wellsboro | Wellsboro | $180.00 | $16.56 – $82.80 |
| UPMC Williamsport | Williamsport | $55.20 | $18.40 – $73.60 |