healthcosts.net
Hla i typing high res 1 allele grp ea at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$1,253.40
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.
$2,089.00
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.
$103.22 with Health Partners Plans (Jefferson Health Plan) vs $858.60 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $103.22 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $113.54 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $123.86 | ↓ -90% |
| Aetna | CHIP/Medicaid | $134.19 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $153.08 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $160.68 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $163.34 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $167.91 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $175.91 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $183.49 | ↓ -85% |
| United Healthcare | Medicare | $183.49 | ↓ -85% |
| Cigna Lifesource | Medicare Transplant | $183.49 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $183.49 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $183.49 | ↓ -85% |
| Aetna | Medicare | $186.89 | ↓ -85% |
| Aetna of PA | Medicare | $186.89 | ↓ -85% |
| Highmark BCBS of PA | Medicare Advantage | $192.87 | ↓ -85% |
| Multiplan | Worker's Compensation | $195.25 | ↓ -84% |
| UPMC Health Plan | Commercial | $215.27 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $320.58 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $429.30 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $506.71 | ↓ -60% |
| Preferred Healthcare System | PPO | $509.60 | ↓ -59% |
| Coventry/First Health | Commercial | $548.80 | ↓ -56% |
| Fidelis | Medicare | $588.00 | ↓ -53% |
| InterGroup | InterGroup Services Corporation | $588.00 | ↓ -53% |
| Health Coalition Partners | Intergroup | $627.20 | ↓ -50% |
| Private Health Care Systems | PPO | $627.20 | ↓ -50% |
| SelectCare | Commercial | $627.20 | ↓ -50% |
| Multiplan | PPO | $627.20 | ↓ -50% |
| InterGroup | Approved National Affiliated PPO Business | $666.40 | ↓ -47% |
| Health Payors Organization | Commercial | $666.40 | ↓ -47% |
| Humana | Commercial | $666.40 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Indemnity | $678.59 | ↓ -46% |
| Highmark BCBS of PA | UPMC Emergent | $858.60 | ↓ -31% |
Visitor-reported prices
Comments
Hla i typing high res 1 allele grp ea at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $888.00 | $113.54 – $666.40 |
| UPMC Mercy | Pittsburgh | $1,253.40 | $113.54 – $705.60 |
| UPMC St. Margaret | Pittsburgh | $688.80 | $113.54 – $666.40 |
| UPMC Muncy | Muncy | $448.20 | $112.05 – $597.60 |
| UPMC Northwest | Seneca | $549.60 | $113.54 – $666.40 |
| UPMC Somerset | Somerset | $981.60 | $113.54 – $1,227.00 |
| UPMC Wellsboro | Wellsboro | $1,363.20 | $103.22 – $639.90 |
| UPMC Williamsport | Williamsport | $1,183.20 | $113.54 – $621.60 |