healthcosts.net
Brace afo lg left 6607 at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$796.20
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.
?
What you pay up front if you don't use insurance.
$1,327.00
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.
$125.64 with Highmark Wholecare (prev Gateway) vs $1,725.28 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 | $125.64 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $168.00 | ↓ -79% |
| Aetna | CHIP/Medicaid | $188.46 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $198.93 | ↓ -75% |
| Aetna | Medicare | $261.75 | ↓ -67% |
| Highmark BCBS of PA | Medicare Advantage | $289.26 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $345.51 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $409.04 | ↓ -49% |
| Multiplan | Worker's Compensation | $475.63 | ↓ -40% |
| Highmark BCBS of PA | Managed Care - Social Mission | $480.81 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $489.53 | ↓ -39% |
| Aetna | First Health | $523.50 | ↓ -34% |
| Highmark Wholecare (prev Gateway) | Medicare | $523.50 | ↓ -34% |
| Highmark BCBS of PA | Managed Care | $643.87 | ↓ -19% |
| Highmark BCBS of PA | Commercial - Indemnity | $655.54 | ↓ -18% |
| Preferred Healthcare System | PPO | $680.55 | ↓ -15% |
| Coventry/First Health | Commercial | $732.90 | ↓ -8% |
| Fidelis | Medicare | $785.25 | ↓ -1% |
| InterGroup | InterGroup Services Corporation | $785.25 | ↓ -1% |
| Health Coalition Partners | Intergroup | $837.60 | ↑ +5% |
| Multiplan | PPO | $837.60 | ↑ +5% |
| Private Health Care Systems | PPO | $837.60 | ↑ +5% |
| SelectCare | Commercial | $837.60 | ↑ +5% |
| Health Payors Organization | Commercial | $889.95 | ↑ +12% |
| Humana | Commercial | $889.95 | ↑ +12% |
| InterGroup | Approved National Affiliated PPO Business | $889.95 | ↑ +12% |
| Highmark BCBS of PA | UPMC Emergent | $1,287.74 | ↑ +62% |
| UPMC Health Plan | Commercial | $1,725.28 | ↑ +117% |
Visitor-reported prices
Comments
Brace afo lg left 6607 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,288.20 | $185.52 – $842.61 |
| UPMC Passavant-McCandless | Pittsburgh | $609.00 | $214.00 – $1,548.47 |
| UPMC St. Margaret | Pittsburgh | $618.60 | $206.20 – $1,309.38 |