healthcosts.net
Brace oths wrist hnd fngr without at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$197.40
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.
$329.00
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.
$4.56 with Highmark Wholecare (prev Gateway) vs $1,732.43 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 | $4.56 | ↓ -98% |
| Aetna | CHIP/Medicaid | $6.84 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $7.22 | ↓ -96% |
| Aetna | Medicare | $9.50 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $12.54 | ↓ -94% |
| Aetna | First Health | $19.00 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.00 | ↓ -90% |
| Preferred Healthcare System | PPO | $24.70 | ↓ -87% |
| Coventry/First Health | Commercial | $26.60 | ↓ -87% |
| Fidelis | Medicare | $28.50 | ↓ -86% |
| InterGroup | InterGroup Services Corporation | $28.50 | ↓ -86% |
| Health Coalition Partners | Intergroup | $30.40 | ↓ -85% |
| Multiplan | PPO | $30.40 | ↓ -85% |
| Private Health Care Systems | PPO | $30.40 | ↓ -85% |
| SelectCare | Commercial | $30.40 | ↓ -85% |
| Health Payors Organization | Commercial | $32.30 | ↓ -84% |
| Humana | Commercial | $32.30 | ↓ -84% |
| InterGroup | Approved National Affiliated PPO Business | $32.30 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $171.66 | ↓ -13% |
| Highmark BCBS of PA | Medicare Advantage | $316.87 | ↑ +61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $526.69 | ↑ +167% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $536.25 | ↑ +172% |
| Highmark BCBS of PA | Managed Care | $705.31 | ↑ +257% |
| Highmark BCBS of PA | Commercial - Indemnity | $718.09 | ↑ +264% |
| Highmark BCBS of PA | UPMC Emergent | $1,410.62 | ↑ +615% |
| UPMC Health Plan | Commercial | $1,732.43 | ↑ +778% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Brace oths wrist hnd fngr without at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $516.00 | $75.60 – $846.11 |
| UPMC Passavant-McCandless | Pittsburgh | $201.00 | $73.70 – $1,554.89 |
| UPMC St. Margaret | Pittsburgh | $194.40 | $64.80 – $1,314.81 |
| UPMC Muncy | Muncy | $360.60 | $42.60 – $255.60 |
| UPMC Northwest | Seneca | $642.00 | $267.50 – $1,296.62 |
| UPMC Wellsboro | Wellsboro | $436.00 | $46.26 – $231.30 |
| UPMC Williamsport | Williamsport | $170.40 | $56.80 – $255.60 |