healthcosts.net
Filter vena cava fem denali at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$11,731.20
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.
$19,552.00
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.
$642.36 with Highmark Wholecare (prev Gateway) vs $8,375.77 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 | $642.36 | ↓ -95% |
| Highmark BCBS of PA | Medicare Advantage | $920.46 | ↓ -92% |
| Aetna | CHIP/Medicaid | $963.54 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,017.07 | ↓ -91% |
| Aetna | Medicare | $1,338.25 | ↓ -89% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,529.98 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,557.74 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $1,766.49 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,810.92 | ↓ -85% |
| Highmark BCBS of PA | Managed Care | $2,048.85 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,085.99 | ↓ -82% |
| Aetna | First Health | $2,676.50 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,676.50 | ↓ -77% |
| Preferred Healthcare System | PPO | $3,479.45 | ↓ -70% |
| Coventry/First Health | Commercial | $3,747.10 | ↓ -68% |
| Fidelis | Medicare | $4,014.75 | ↓ -66% |
| InterGroup | InterGroup Services Corporation | $4,014.75 | ↓ -66% |
| Highmark BCBS of PA | UPMC Emergent | $4,097.71 | ↓ -65% |
| Health Coalition Partners | Intergroup | $4,282.40 | ↓ -63% |
| Multiplan | PPO | $4,282.40 | ↓ -63% |
| Private Health Care Systems | PPO | $4,282.40 | ↓ -63% |
| SelectCare | Commercial | $4,282.40 | ↓ -63% |
| Health Payors Organization | Commercial | $4,550.05 | ↓ -61% |
| Humana | Commercial | $4,550.05 | ↓ -61% |
| InterGroup | Approved National Affiliated PPO Business | $4,550.05 | ↓ -61% |
| UPMC Health Plan | Commercial | $8,375.77 | ↓ -29% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Filter vena cava fem denali at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7,182.60 | $911.78 – $5,124.60 |
| UPMC Passavant-McCandless | Pittsburgh | $6,039.00 | $894.08 – $7,517.40 |
| UPMC St. Margaret | Pittsburgh | $5,179.20 | $750.20 – $6,356.71 |
| UPMC Northwest | Seneca | $5,991.00 | $1,345.25 – $6,268.74 |
| UPMC Somerset | Somerset | $4,507.80 | $463.80 – $3,102.87 |
| UPMC Williamsport | Williamsport | $4,242.60 | $1,054.62 – $3,515.40 |