Imp neurosti pls gn any type at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$72,580.80
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.
$120,968.00
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.
$216.48 with Highmark Wholecare (prev Gateway) vs $25,614.67 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $216.48 | ↓ -100% |
| Aetna | CHIP/Medicaid | $324.72 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $342.76 | ↓ -100% |
| Aetna | Medicare | $451.00 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $595.32 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $610.29 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $902.00 | ↓ -99% |
| Aetna | First Health | $902.00 | ↓ -99% |
| Preferred Healthcare System | PPO | $1,172.60 | ↓ -98% |
| Coventry/First Health | Commercial | $1,262.80 | ↓ -98% |
| Fidelis | Medicare | $1,353.00 | ↓ -98% |
| InterGroup | InterGroup Services Corporation | $1,353.00 | ↓ -98% |
| SelectCare | Commercial | $1,443.20 | ↓ -98% |
| Multiplan | PPO | $1,443.20 | ↓ -98% |
| Private Health Care Systems | PPO | $1,443.20 | ↓ -98% |
| Health Coalition Partners | Intergroup | $1,443.20 | ↓ -98% |
| InterGroup | Approved National Affiliated PPO Business | $1,533.40 | ↓ -98% |
| Humana | Commercial | $1,533.40 | ↓ -98% |
| Health Payors Organization | Commercial | $1,533.40 | ↓ -98% |
| Highmark BCBS of PA | Medicare Advantage | $5,753.78 | ↓ -92% |
| Highmark BCBS of PA | Managed Care - Social Mission | $9,563.88 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $9,737.43 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $10,854.46 | ↓ -85% |
| Multiplan | Worker's Compensation | $12,621.46 | ↓ -83% |
| Highmark BCBS of PA | Managed Care | $12,807.34 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Indemnity | $13,039.45 | ↓ -82% |
| UPMC Health Plan | Commercial | $19,363.49 | ↓ -73% |
| Highmark BCBS of PA | UPMC Emergent | $25,614.67 | ↓ -65% |
Visitor-reported prices
Comments
Imp neurosti pls gn any type at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $32,951.40 | $5,699.51 – $10,854.46 |
| UPMC Passavant-McCandless | Pittsburgh | $34,927.80 | $5,753.78 – $17,379.07 |
| UPMC Hamot | Erie | $59,943.00 | $5,699.51 – $10,854.46 |
| UPMC Muncy | Muncy | $33,311.40 | $10,854.46 – $11,611.74 |