healthcosts.net
CT limited or localized follow-up study at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$1,632.60
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.
$2,721.00
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.
$63.60 with United Healthcare Community Plan for Families vs $2,312.85 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $63.60 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $90.67 | ↓ -94% |
| Cigna Lifesource | Medicare Transplant | $90.67 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $90.67 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $90.67 | ↓ -94% |
| United Healthcare | Medicare | $90.67 | ↓ -94% |
| Aetna | Medicare | $92.34 | ↓ -94% |
| Aetna of PA | Medicare | $92.34 | ↓ -94% |
| Highmark BCBS of PA | Medicare Advantage | $212.18 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $463.87 | ↓ -72% |
| Aetna | CHIP/Medicaid | $489.78 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $525.96 | ↓ -68% |
| Multiplan | Worker's Compensation | $539.38 | ↓ -67% |
| Highmark BCBS of PA | Managed Care | $704.32 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $992.03 | ↓ -39% |
| UPMC Health Plan | Commercial | $1,275.88 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,328.57 | ↓ -19% |
| Highmark BCBS of PA | UPMC Emergent | $1,408.65 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $1,496.55 | ↓ -8% |
| Preferred Healthcare System | PPO | $1,768.65 | ↑ +8% |
| Coventry/First Health | Commercial | $1,904.70 | ↑ +17% |
| Fidelis | Medicare | $2,040.75 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $2,040.75 | ↑ +25% |
| Health Coalition Partners | Intergroup | $2,176.80 | ↑ +33% |
| Multiplan | PPO | $2,176.80 | ↑ +33% |
| Private Health Care Systems | PPO | $2,176.80 | ↑ +33% |
| SelectCare | Commercial | $2,176.80 | ↑ +33% |
| Health Payors Organization | Commercial | $2,312.85 | ↑ +42% |
| Humana | Commercial | $2,312.85 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $2,312.85 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
CT limited or localized follow-up study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,101.60 | $78.01 – $1,560.60 |
| UPMC Mercy | Pittsburgh | $2,217.00 | $69.98 – $3,325.50 |
| UPMC St. Margaret | Pittsburgh | $966.60 | $72.48 – $1,369.35 |
| UPMC Muncy | Muncy | $541.20 | $67.84 – $721.60 |
| UPMC Somerset | Somerset | $624.60 | $60.95 – $780.75 |
| UPMC Wellsboro | Wellsboro | $654.40 | $67.84 – $736.20 |
| UPMC Williamsport | Williamsport | $541.20 | $67.84 – $721.60 |