healthcosts.net
C motor evoked upr&lwr limbs at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$477.00
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.
$795.00
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.
$305.47 with United Healthcare Community Plan for Families vs $2,716.26 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 | $305.47 | ↓ -36% |
| UPMC Health Plan | Managed Medicaid | $378.73 | ↓ -21% |
| Highmark BCBS of PA | Medicare Advantage | $409.13 | ↓ -14% |
| Aetna | CHIP/Medicaid | $447.59 | ↓ -6% |
| Highmark Wholecare (prev Gateway) | Medicaid | $510.60 | ↑ +7% |
| Preferred Healthcare System | PPO | $516.75 | ↑ +8% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $519.20 | ↑ +9% |
| Geisinger | Medicaid/CHIP | $535.97 | ↑ +12% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $544.82 | ↑ +14% |
| Coventry/First Health | Commercial | $556.50 | ↑ +17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $586.76 | ↑ +23% |
| Fidelis | Medicare | $596.25 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $596.25 | ↑ +25% |
| Health Coalition Partners | Intergroup | $636.00 | ↑ +33% |
| Private Health Care Systems | PPO | $636.00 | ↑ +33% |
| SelectCare | Commercial | $636.00 | ↑ +33% |
| Multiplan | PPO | $636.00 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $675.75 | ↑ +42% |
| Health Payors Organization | Commercial | $675.75 | ↑ +42% |
| Humana | Commercial | $675.75 | ↑ +42% |
| UPMC Work Partners | Workers Comp | $721.94 | ↑ +51% |
| Multiplan | Worker's Compensation | $839.47 | ↑ +76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,014.19 | ↑ +113% |
| AmeriHealth Caritas | Medicare | $1,047.56 | ↑ +120% |
| United Healthcare | Medicare | $1,047.56 | ↑ +120% |
| Cigna Lifesource | Medicare Transplant | $1,047.56 | ↑ +120% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,047.56 | ↑ +120% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,047.56 | ↑ +120% |
| Aetna | Medicare | $1,066.96 | ↑ +124% |
| Aetna of PA | Medicare | $1,066.96 | ↑ +124% |
| Highmark BCBS of PA | Managed Care | $1,358.13 | ↑ +185% |
| UPMC Health Plan | Commercial | $1,465.97 | ↑ +207% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,906.74 | ↑ +300% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,553.59 | ↑ +435% |
| Highmark BCBS of PA | UPMC Emergent | $2,716.26 | ↑ +469% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
C motor evoked upr&lwr limbs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $330.00 | $153.45 – $1,018.46 |
| UPMC Passavant-McCandless | Pittsburgh | $369.60 | $209.44 – $1,066.96 |
| UPMC St. Margaret | Pittsburgh | $704.40 | $295.85 – $1,018.46 |
| UPMC Northwest | Seneca | $2,663.40 | $378.73 – $3,773.15 |
| UPMC Somerset | Somerset | $2,029.20 | $292.74 – $2,536.50 |
| UPMC Williamsport | Williamsport | $2,816.40 | $325.84 – $3,755.20 |