Drainage of abdomen at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$18,104.40
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.
$30,174.00
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.
$610.80 with United Healthcare Community Plan for Families vs $25,647.90 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 | $610.80 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $2,133.71 | ↓ -88% |
| Multiplan | Worker's Compensation | $2,481.06 | ↓ -86% |
| Highmark BCBS of PA | Medicare Advantage | $2,934.98 | ↓ -84% |
| Aetna | CHIP/Medicaid | $5,431.32 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,275.43 | ↓ -60% |
| Aetna | Medicare | $7,543.50 | ↓ -58% |
| Highmark BCBS of PA | Managed Care | $9,742.75 | ↓ -46% |
| UPMC Health Plan | Commercial | $14,148.59 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $14,941.87 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $15,087.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $16,595.70 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $19,485.50 | ↑ +8% |
| Preferred Healthcare System | PPO | $19,613.10 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity | $20,010.40 | ↑ +11% |
| Coventry/First Health | Commercial | $21,121.80 | ↑ +17% |
| Fidelis | Medicare | $22,630.50 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $22,630.50 | ↑ +25% |
| SelectCare | Commercial | $24,139.20 | ↑ +33% |
| Private Health Care Systems | PPO | $24,139.20 | ↑ +33% |
| Multiplan | PPO | $24,139.20 | ↑ +33% |
| Health Coalition Partners | Intergroup | $24,139.20 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $25,647.90 | ↑ +42% |
| Humana | Commercial | $25,647.90 | ↑ +42% |
| Health Payors Organization | Commercial | $25,647.90 | ↑ +42% |
Visitor-reported prices
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Drainage of abdomen at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $14,229.60 | $1,943.66 – $2,934.98 |
| UPMC St. Margaret | Pittsburgh | $6,460.20 | $2,102.82 – $2,934.98 |
| UPMC McKeesport | Mckeesport | $12,609.60 | $1,943.66 – $2,934.98 |