healthcosts.net
Cath plc art ang/grft lt/rt hr at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$13,124.40
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.
$21,874.00
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.
$931.20 with United Healthcare Community Plan for Families vs $18,592.90 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $931.20 | ↓ -93% |
| Highmark BCBS of PA | Medicare Advantage | $1,772.97 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $2,384.77 | ↓ -82% |
| Multiplan | Worker's Compensation | $2,772.99 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $3,311.78 | ↓ -75% |
| Cigna Lifesource | Medicare Transplant | $3,311.78 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,311.78 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,311.78 | ↓ -75% |
| United Healthcare | Medicare | $3,311.78 | ↓ -75% |
| Aetna | Medicare | $3,373.11 | ↓ -74% |
| Aetna of PA | Medicare | $3,373.11 | ↓ -74% |
| Aetna | CHIP/Medicaid | $3,937.32 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,394.97 | ↓ -67% |
| Highmark BCBS of PA | Managed Care | $5,885.44 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $8,262.82 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity | $11,065.94 | ↓ -16% |
| UPMC Health Plan | Commercial | $11,117.11 | ↓ -15% |
| Highmark BCBS of PA | UPMC Emergent | $11,770.88 | ↓ -10% |
| Geisinger | Medicaid/CHIP | $12,030.70 | ↓ -8% |
| Preferred Healthcare System | PPO | $14,218.10 | ↑ +8% |
| Coventry/First Health | Commercial | $15,311.80 | ↑ +17% |
| Fidelis | Medicare | $16,405.50 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $16,405.50 | ↑ +25% |
| Health Coalition Partners | Intergroup | $17,499.20 | ↑ +33% |
| Multiplan | PPO | $17,499.20 | ↑ +33% |
| Private Health Care Systems | PPO | $17,499.20 | ↑ +33% |
| SelectCare | Commercial | $17,499.20 | ↑ +33% |
| Health Payors Organization | Commercial | $18,592.90 | ↑ +42% |
| Humana | Commercial | $18,592.90 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $18,592.90 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Cath plc art ang/grft lt/rt hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $14,482.80 | $1,756.25 – $21,724.20 |
| UPMC Passavant-McCandless | Pittsburgh | $21,694.80 | $1,772.97 – $30,734.30 |
| UPMC Northwest | Seneca | $11,503.20 | $2,119.68 – $16,296.20 |
| UPMC Somerset | Somerset | $7,636.80 | $892.40 – $9,546.00 |
| UPMC Williamsport | Williamsport | $6,051.00 | $993.28 – $8,068.00 |