healthcosts.net
Brach/thor cath 1st at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$13,008.00
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.
$21,680.00
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.
$189.20 with UPMC Health Plan vs $18,428.00 with InterGroup — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $189.20 | ↓ -99% |
| Aetna | CHIP/Medicaid | $223.60 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $255.08 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $259.38 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $267.75 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $272.17 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $293.12 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $680.19 | ↓ -95% |
| Multiplan | Worker's Compensation | $790.92 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $931.20 | ↓ -93% |
| Highmark BCBS of PA | Medicare Advantage | $1,361.59 | ↓ -90% |
| UPMC Health Plan | Commercial | $2,422.10 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,375.20 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $4,519.83 | ↓ -65% |
| Aetna | Medicare | $5,420.00 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6,931.80 | ↓ -47% |
| Highmark BCBS of PA | UPMC Emergent | $9,039.67 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Indemnity | $9,283.18 | ↓ -29% |
| Highmark Wholecare (prev Gateway) | Medicare | $10,840.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $14,092.00 | ↑ +8% |
| Coventry/First Health | Commercial | $15,176.00 | ↑ +17% |
| Fidelis | Medicare | $16,260.00 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $16,260.00 | ↑ +25% |
| Health Coalition Partners | Intergroup | $17,344.00 | ↑ +33% |
| Multiplan | PPO | $17,344.00 | ↑ +33% |
| Private Health Care Systems | PPO | $17,344.00 | ↑ +33% |
| SelectCare | Commercial | $17,344.00 | ↑ +33% |
| Health Payors Organization | Commercial | $18,428.00 | ↑ +42% |
| Humana | Commercial | $18,428.00 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $18,428.00 | ↑ +42% |
Visitor-reported prices
Comments
Brach/thor cath 1st at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $7,318.20 | $189.20 – $10,367.45 |
| UPMC Mercy | Pittsburgh | $4,953.00 | $189.20 – $7,429.50 |
| UPMC St. Margaret | Pittsburgh | $3,108.00 | $189.20 – $4,403.00 |
| UPMC Northwest | Seneca | $8,405.40 | $189.20 – $11,907.65 |
| UPMC Somerset | Somerset | $4,321.20 | $189.20 – $5,401.50 |
| UPMC Williamsport | Williamsport | $1,107.60 | $189.20 – $1,476.80 |