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Kit cath ivl 2.5x40mm 135cm shockwave s4 at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$15,094.80
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.
$25,158.00
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.
$2,791.08 with Aetna vs $13,180.10 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $2,791.08 | ↓ -82% |
| Aetna | Medicare | $3,876.50 | ↓ -74% |
| UPMC Health Plan | Commercial | $7,270.76 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,753.00 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $8,528.30 | ↓ -44% |
| Preferred Healthcare System | PPO | $10,078.90 | ↓ -33% |
| Coventry/First Health | Commercial | $10,854.20 | ↓ -28% |
| Fidelis | Medicare | $11,629.50 | ↓ -23% |
| InterGroup | InterGroup Services Corporation | $11,629.50 | ↓ -23% |
| Health Coalition Partners | Intergroup | $12,404.80 | ↓ -18% |
| Multiplan | PPO | $12,404.80 | ↓ -18% |
| Private Health Care Systems | PPO | $12,404.80 | ↓ -18% |
| SelectCare | Commercial | $12,404.80 | ↓ -18% |
| Health Payors Organization | Commercial | $13,180.10 | ↓ -13% |
| Humana | Commercial | $13,180.10 | ↓ -13% |
| InterGroup | Approved National Affiliated PPO Business | $13,180.10 | ↓ -13% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Kit cath ivl 2.5x40mm 135cm shockwave s4 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $10,076.40 | $4,198.50 – $15,114.60 |
| UPMC Passavant-McCandless | Pittsburgh | $12,000.60 | $5,000.25 – $17,000.85 |
| UPMC St. Margaret | Pittsburgh | $8,967.60 | $2,742.75 – $9,325.35 |
| UPMC Williamsport | Williamsport | $10,797.00 | $4,858.65 – $16,195.50 |