healthcosts.net
Ins picad w subq port 5yr> at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$5,529.60
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.
?
What you pay up front if you don't use insurance.
$9,216.00
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.
$423.71 with UPMC Health Plan vs $7,833.60 with InterGroup — 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 Health Plan | Commercial | $423.71 | ↓ -92% |
| Highmark BCBS of PA | Medicare Advantage | $903.55 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $931.20 | ↓ -83% |
| Aetna | CHIP/Medicaid | $1,658.88 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,239.79 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $2,999.37 | ↓ -46% |
| UPMC Work Partners | Workers Comp | $3,201.16 | ↓ -42% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↓ -41% |
| Cigna Lifesource | Medicare Transplant | $3,240.82 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.82 | ↓ -41% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | ↓ -41% |
| United Healthcare | Medicare | $3,240.82 | ↓ -41% |
| Aetna | Medicare | $3,300.84 | ↓ -40% |
| Aetna of PA | Medicare | $3,300.84 | ↓ -40% |
| Multiplan | Worker's Compensation | $3,722.28 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,599.96 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $5,068.80 | ↓ -8% |
| Preferred Healthcare System | PPO | $5,990.40 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $5,998.75 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,160.34 | ↑ +11% |
| Coventry/First Health | Commercial | $6,451.20 | ↑ +17% |
| Fidelis | Medicare | $6,912.00 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $6,912.00 | ↑ +25% |
| Health Coalition Partners | Intergroup | $7,372.80 | ↑ +33% |
| Multiplan | PPO | $7,372.80 | ↑ +33% |
| Private Health Care Systems | PPO | $7,372.80 | ↑ +33% |
| SelectCare | Commercial | $7,372.80 | ↑ +33% |
| Health Payors Organization | Commercial | $7,833.60 | ↑ +42% |
| Humana | Commercial | $7,833.60 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $7,833.60 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ins picad w subq port 5yr> at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,961.00 | $503.41 – $4,194.75 |
| UPMC Mercy | Pittsburgh | $5,418.00 | $681.00 – $8,127.00 |
| UPMC St. Margaret | Pittsburgh | $4,228.20 | $499.85 – $5,989.95 |
| UPMC Muncy | Muncy | $1,705.80 | $426.45 – $2,755.22 |
| UPMC Somerset | Somerset | $4,201.80 | $885.98 – $5,252.25 |
| UPMC Wellsboro | Wellsboro | $2,063.20 | $464.22 – $2,755.22 |
| UPMC Williamsport | Williamsport | $1,624.80 | $993.28 – $3,240.52 |
| UPMC Northwest | Seneca | not published | $526.12 – $3,240.82 |