healthcosts.net
Ghs vaginal delivery only at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$11,280.60
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.
$18,801.00
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.
$630.14 with UPMC Health Plan vs $15,980.85 with InterGroup — 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $630.14 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,440.00 | ↓ -87% |
| Highmark BCBS of PA | Medicare Advantage | $1,486.15 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $2,252.09 | ↓ -80% |
| Multiplan | Worker's Compensation | $2,618.71 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $3,273.80 | ↓ -71% |
| Cigna Lifesource | Medicare Transplant | $3,273.80 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,273.80 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,273.80 | ↓ -71% |
| United Healthcare | Medicare | $3,273.80 | ↓ -71% |
| Aetna | Medicare | $3,334.43 | ↓ -70% |
| Aetna of PA | Medicare | $3,334.43 | ↓ -70% |
| Aetna | CHIP/Medicaid | $3,384.18 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,683.97 | ↓ -67% |
| Highmark BCBS of PA | Managed Care | $4,933.32 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,565.94 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $9,866.65 | ↓ -13% |
| Highmark BCBS of PA | Commercial - Indemnity | $10,132.43 | ↓ -10% |
| Geisinger | Medicaid/CHIP | $10,340.55 | ↓ -8% |
| Preferred Healthcare System | PPO | $12,220.65 | ↑ +8% |
| Coventry/First Health | Commercial | $13,160.70 | ↑ +17% |
| Fidelis | Medicare | $14,100.75 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $14,100.75 | ↑ +25% |
| Health Coalition Partners | Intergroup | $15,040.80 | ↑ +33% |
| Multiplan | PPO | $15,040.80 | ↑ +33% |
| Private Health Care Systems | PPO | $15,040.80 | ↑ +33% |
| SelectCare | Commercial | $15,040.80 | ↑ +33% |
| Health Payors Organization | Commercial | $15,980.85 | ↑ +42% |
| Humana | Commercial | $15,980.85 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $15,980.85 | ↑ +42% |
Visitor-reported prices
Comments
Ghs vaginal delivery only at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $7,320.60 | $619.68 – $4,100.40 |
| UPMC St. Margaret | Pittsburgh | $6,562.20 | $642.43 – $9,296.45 |
| UPMC Muncy | Muncy | $1,012.80 | $253.20 – $2,456.98 |
| UPMC Somerset | Somerset | $4,464.60 | $50.26 – $5,580.75 |
| UPMC Wellsboro | Wellsboro | $1,224.80 | $275.58 – $1,691.16 |
| UPMC Williamsport | Williamsport | $9,063.60 | $1,536.00 – $12,084.80 |