CT scan for localization at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$3,509.40
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.
$5,849.00
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.
$216.72 with United Healthcare Community Plan for Families vs $4,971.65 with Health Payors Organization — 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 | $216.72 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $248.09 | ↓ -93% |
| Aetna | CHIP/Medicaid | $293.20 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $334.48 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $340.11 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $351.10 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $356.89 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $384.37 | ↓ -89% |
| Highmark BCBS of PA | Medicare Advantage | $423.62 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $866.92 | ↓ -75% |
| Multiplan | Worker's Compensation | $1,008.05 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,050.10 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $1,406.22 | ↓ -60% |
| Aetna | Medicare | $1,462.25 | ↓ -58% |
| UPMC Health Plan | Commercial | $1,658.58 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,980.64 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,652.56 | ↓ -24% |
| Highmark BCBS of PA | UPMC Emergent | $2,812.44 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,924.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $3,801.85 | ↑ +8% |
| Coventry/First Health | Commercial | $4,094.30 | ↑ +17% |
| Fidelis | Medicare | $4,386.75 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $4,386.75 | ↑ +25% |
| SelectCare | Commercial | $4,679.20 | ↑ +33% |
| Private Health Care Systems | PPO | $4,679.20 | ↑ +33% |
| Multiplan | PPO | $4,679.20 | ↑ +33% |
| Health Coalition Partners | Intergroup | $4,679.20 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $4,971.65 | ↑ +42% |
| Humana | Commercial | $4,971.65 | ↑ +42% |
| Health Payors Organization | Commercial | $4,971.65 | ↑ +42% |
Visitor-reported prices
Comments
CT scan for localization at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,572.00 | $180.60 – $2,096.00 |
| UPMC Carlisle | Carlisle | $1,312.80 | $236.59 – $1,859.80 |
| UPMC Community Osteopathic | Harrisburg | $1,312.80 | $236.59 – $2,642.02 |
| UPMC Northwest | Seneca | $1,350.00 | $248.09 – $1,089.09 |
| UPMC Hanover | Hanover | $1,312.80 | $236.59 – $743.15 |
| UPMC Lititz | Lititz | $1,312.80 | $210.96 – $743.15 |
| UPMC McKeesport | Mckeesport | $2,220.00 | $232.06 – $710.12 |
| UPMC Memorial | York | $1,312.80 | $210.96 – $3,727.67 |