Expander tiss 133s-mv-12-t 300ml natrelle smth at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$10,690.80
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.
$17,818.00
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.
$9.84 with Highmark Wholecare (prev Gateway) vs $5,688.39 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $9.84 | ↓ -100% |
| Aetna | CHIP/Medicaid | $14.76 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.58 | ↓ -100% |
| Aetna | Medicare | $20.50 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $27.06 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.74 | ↓ -100% |
| Aetna | First Health | $41.00 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $41.00 | ↓ -100% |
| Preferred Healthcare System | PPO | $53.30 | ↓ -100% |
| Coventry/First Health | Commercial | $57.40 | ↓ -99% |
| Fidelis | Medicare | $61.50 | ↓ -99% |
| InterGroup | InterGroup Services Corporation | $61.50 | ↓ -99% |
| SelectCare | Commercial | $65.60 | ↓ -99% |
| Multiplan | PPO | $65.60 | ↓ -99% |
| Health Coalition Partners | Intergroup | $65.60 | ↓ -99% |
| Private Health Care Systems | PPO | $65.60 | ↓ -99% |
| Humana | Commercial | $69.70 | ↓ -99% |
| Health Payors Organization | Commercial | $69.70 | ↓ -99% |
| InterGroup | Approved National Affiliated PPO Business | $69.70 | ↓ -99% |
| Highmark BCBS of PA | Medicare Advantage | $583.12 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $969.26 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $986.85 | ↓ -91% |
| Highmark BCBS of PA | Managed Care | $1,297.97 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,321.50 | ↓ -88% |
| Highmark BCBS of PA | UPMC Emergent | $2,595.94 | ↓ -76% |
| UPMC Health Plan | Commercial | $5,688.39 | ↓ -47% |
| Multiplan | Worker's Compensation | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Expander tiss 133s-mv-12-t 300ml natrelle smth at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $5,923.80 | $442.55 – $3,518.26 |
| UPMC Mercy | Pittsburgh | $2,730.60 | $577.62 – $2,778.17 |
| UPMC Passavant-McCandless | Pittsburgh | $5,235.60 | $583.12 – $5,105.43 |
| UPMC St. Margaret | Pittsburgh | $2,680.20 | $583.12 – $4,317.15 |
| UPMC Altoona | Altoona | $4,798.80 | $143.64 – $3,518.26 |
| UPMC East | Monroeville | $2,841.00 | $572.09 – $3,518.26 |
| UPMC Hamot | Erie | $3,733.80 | $577.62 – $577.62 |
| UPMC Northwest | Seneca | $3,237.00 | $1,499.15 – $4,257.40 |