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Cath occl flo-rester 2.25x12mm cor internal vessel occluder at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$28,570.20
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.
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What you pay up front if you don't use insurance.
$47,617.00
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.
$372.60 with Highmark Wholecare (prev Gateway) vs $31,686.71 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 | $372.60 | ↓ -99% |
| Aetna | CHIP/Medicaid | $558.90 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $589.95 | ↓ -98% |
| Aetna | Medicare | $776.25 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $1,024.65 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,050.42 | ↓ -96% |
| Aetna | First Health | $1,552.50 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,552.50 | ↓ -95% |
| Preferred Healthcare System | PPO | $2,018.25 | ↓ -93% |
| Coventry/First Health | Commercial | $2,173.50 | ↓ -92% |
| Fidelis | Medicare | $2,328.75 | ↓ -92% |
| InterGroup | InterGroup Services Corporation | $2,328.75 | ↓ -92% |
| Health Coalition Partners | Intergroup | $2,484.00 | ↓ -91% |
| Multiplan | PPO | $2,484.00 | ↓ -91% |
| Private Health Care Systems | PPO | $2,484.00 | ↓ -91% |
| SelectCare | Commercial | $2,484.00 | ↓ -91% |
| Health Payors Organization | Commercial | $2,639.25 | ↓ -91% |
| Humana | Commercial | $2,639.25 | ↓ -91% |
| InterGroup | Approved National Affiliated PPO Business | $2,639.25 | ↓ -91% |
| Highmark BCBS of PA | Medicare Advantage | $3,641.80 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $6,053.36 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6,163.21 | ↓ -78% |
| Highmark BCBS of PA | Managed Care | $8,106.28 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Indemnity | $8,253.19 | ↓ -71% |
| Highmark BCBS of PA | UPMC Emergent | $16,212.55 | ↓ -43% |
| UPMC Health Plan | Commercial | $31,686.71 | ↑ +11% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Cath occl flo-rester 2.25x12mm cor internal vessel occluder at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $25,520.40 | $3,607.45 – $38,280.60 |
| UPMC Passavant-McCandless | Pittsburgh | $21,427.20 | $3,641.80 – $28,439.37 |
| UPMC Somerset | Somerset | $13,558.20 | $3,570.96 – $16,947.75 |