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Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$3,157.80
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.
$5,263.00
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.
$58.51 with United Healthcare Community Plan for Families vs $4,473.55 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $58.51 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $153.09 | ↓ -95% |
| Highmark BCBS of PA | Medicare Advantage | $165.38 | ↓ -95% |
| Multiplan | Worker's Compensation | $178.01 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $409.95 | ↓ -87% |
| UPMC Health Plan | Commercial | $517.78 | ↓ -84% |
| Highmark BCBS of PA | Managed Care | $548.97 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $841.92 | ↓ -73% |
| Aetna | CHIP/Medicaid | $947.34 | ↓ -70% |
| Highmark BCBS of PA | UPMC Emergent | $1,097.94 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,127.52 | ↓ -64% |
| Aetna | Medicare | $1,315.75 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,631.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $2,894.65 | ↓ -8% |
| Preferred Healthcare System | PPO | $3,420.95 | ↑ +8% |
| Coventry/First Health | Commercial | $3,684.10 | ↑ +17% |
| Fidelis | Medicare | $3,947.25 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $3,947.25 | ↑ +25% |
| Health Coalition Partners | Intergroup | $4,210.40 | ↑ +33% |
| Multiplan | PPO | $4,210.40 | ↑ +33% |
| Private Health Care Systems | PPO | $4,210.40 | ↑ +33% |
| SelectCare | Commercial | $4,210.40 | ↑ +33% |
| Health Payors Organization | Commercial | $4,473.55 | ↑ +42% |
| Humana | Commercial | $4,473.55 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $4,473.55 | ↑ +42% |
Visitor-reported prices
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Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,320.00 | $136.51 – $1,870.00 |
| UPMC Mercy | Pittsburgh | $1,656.60 | $53.64 – $2,484.90 |
| UPMC St. Margaret | Pittsburgh | $1,620.00 | $136.51 – $2,295.00 |
| UPMC Northwest | Seneca | $1,071.60 | $136.51 – $1,518.10 |
| UPMC Somerset | Somerset | $1,318.80 | $56.07 – $1,648.50 |
| UPMC Williamsport | Williamsport | $2,481.60 | $62.41 – $3,308.80 |