healthcosts.net
Ghs alpha thalasemia, 7 deletions at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$1,687.20
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.
?
What you pay up front if you don't use insurance.
$2,812.00
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.
$101.06 with UPMC Work Partners vs $2,017.05 with Humana — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $101.06 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $110.44 | ↓ -93% |
| United Healthcare | Medicare | $110.44 | ↓ -93% |
| Cigna Lifesource | Medicare Transplant | $110.44 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $110.44 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $110.44 | ↓ -93% |
| Aetna | Medicare | $112.49 | ↓ -93% |
| Aetna of PA | Medicare | $112.49 | ↓ -93% |
| Multiplan | Worker's Compensation | $117.51 | ↓ -93% |
| UPMC Health Plan | Commercial | $139.97 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $203.71 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $224.08 | ↓ -87% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $244.45 | ↓ -86% |
| Highmark BCBS of PA | Medicare Advantage | $259.39 | ↓ -85% |
| Aetna | CHIP/Medicaid | $264.82 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $302.10 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $317.12 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $322.35 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $347.16 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $431.15 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $577.37 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $681.47 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Indemnity | $912.65 | ↓ -46% |
| Highmark BCBS of PA | UPMC Emergent | $1,154.75 | ↓ -32% |
| Preferred Healthcare System | PPO | $1,542.45 | ↓ -9% |
| Coventry/First Health | Commercial | $1,661.10 | ↓ -2% |
| Fidelis | Medicare | $1,779.75 | ↑ +5% |
| InterGroup | InterGroup Services Corporation | $1,779.75 | ↑ +5% |
| Health Coalition Partners | Intergroup | $1,898.40 | ↑ +13% |
| Private Health Care Systems | PPO | $1,898.40 | ↑ +13% |
| SelectCare | Commercial | $1,898.40 | ↑ +13% |
| Multiplan | PPO | $1,898.40 | ↑ +13% |
| InterGroup | Approved National Affiliated PPO Business | $2,017.05 | ↑ +20% |
| Health Payors Organization | Commercial | $2,017.05 | ↑ +20% |
| Humana | Commercial | $2,017.05 | ↑ +20% |
Visitor-reported prices
Comments
Ghs alpha thalasemia, 7 deletions at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,771.20 | $95.03 – $2,136.90 |
| UPMC St. Margaret | Pittsburgh | $1,687.20 | $88.29 – $2,390.20 |
| UPMC Northwest | Seneca | $1,687.20 | $92.74 – $2,390.20 |
| UPMC Somerset | Somerset | $591.60 | $101.06 – $739.50 |
| UPMC Williamsport | Williamsport | $1,593.00 | $101.06 – $2,124.00 |