CT Angiogram of the Chest (for blood clot) at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$5,181.60
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.
?
What you pay up front if you don't use insurance.
$8,636.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$183.30 with Highmark Wholecare (prev Gateway) vs $7,340.60 with InterGroup — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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) | Medicare | $183.30 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $183.30 | ↓ -96% |
| Cigna Lifesource | Medicare Transplant | $183.30 | ↓ -96% |
| United Healthcare | Medicare | $183.30 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $183.30 | ↓ -96% |
| Aetna | Medicare | $186.69 | ↓ -96% |
| Aetna of PA | Medicare | $186.69 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $260.16 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $336.57 | ↓ -94% |
| Aetna | CHIP/Medicaid | $397.76 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $453.75 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $461.40 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $476.30 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $484.17 | ↓ -91% |
| Highmark BCBS of PA | Medicare Advantage | $500.82 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $521.43 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $918.94 | ↓ -82% |
| Multiplan | Worker's Compensation | $1,068.53 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,241.47 | ↓ -76% |
| Highmark BCBS of PA | Managed Care | $1,662.48 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,341.59 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,135.96 | ↓ -39% |
| Highmark BCBS of PA | UPMC Emergent | $3,324.97 | ↓ -36% |
| UPMC Health Plan | Commercial | $4,049.42 | ↓ -22% |
| Preferred Healthcare System | PPO | $5,613.40 | ↑ +8% |
| Coventry/First Health | Commercial | $6,045.20 | ↑ +17% |
| InterGroup | InterGroup Services Corporation | $6,477.00 | ↑ +25% |
| Fidelis | Medicare | $6,477.00 | ↑ +25% |
| Multiplan | PPO | $6,908.80 | ↑ +33% |
| Private Health Care Systems | PPO | $6,908.80 | ↑ +33% |
| SelectCare | Commercial | $6,908.80 | ↑ +33% |
| Health Coalition Partners | Intergroup | $6,908.80 | ↑ +33% |
| Health Payors Organization | Commercial | $7,340.60 | ↑ +42% |
| Humana | Commercial | $7,340.60 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $7,340.60 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
CT Angiogram of the Chest (for blood clot) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $3,562.20 | $158.84 – $783.06 |
| UPMC Mercy | Pittsburgh | $3,441.00 | $141.48 – $918.94 |
| UPMC Passavant-McCandless | Pittsburgh | $3,170.40 | $157.72 – $910.54 |
| UPMC St. Margaret | Pittsburgh | $3,067.20 | $146.54 – $783.06 |
| UPMC Altoona | Altoona | $1,413.60 | $216.80 – $1,884.80 |
| UPMC Bedford | Everett | $1,248.60 | $61.23 – $1,872.90 |
| UPMC Carlisle | Carlisle | $1,424.40 | $168.60 – $2,017.90 |
| UPMC Cole | Coudersport | $1,119.60 | $279.43 – $1,492.80 |