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Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$2,619.00
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.
$4,365.00
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.
$523.80 with Highmark Wholecare (prev Gateway) vs $3,710.25 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $523.80 | ↓ -80% |
| Aetna | CHIP/Medicaid | $785.70 | ↓ -70% |
| Highmark BCBS of PA | Medicare Advantage | $785.73 | ↓ -70% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $829.35 | ↓ -68% |
| Aetna | Medicare | $1,091.25 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,306.03 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,329.73 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $1,440.45 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,476.68 | ↓ -44% |
| Highmark BCBS of PA | Managed Care | $1,748.95 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,780.65 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,107.91 | ↓ -20% |
| Aetna | First Health | $2,182.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,182.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $2,837.25 | ↑ +8% |
| Coventry/First Health | Commercial | $3,055.50 | ↑ +17% |
| Fidelis | Medicare | $3,273.75 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $3,273.75 | ↑ +25% |
| Health Coalition Partners | Intergroup | $3,492.00 | ↑ +33% |
| Multiplan | PPO | $3,492.00 | ↑ +33% |
| Private Health Care Systems | PPO | $3,492.00 | ↑ +33% |
| SelectCare | Commercial | $3,492.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $3,497.90 | ↑ +34% |
| Health Payors Organization | Commercial | $3,710.25 | ↑ +42% |
| Humana | Commercial | $3,710.25 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $3,710.25 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,083.80 | $778.32 – $2,948.40 |
| UPMC Passavant-McCandless | Pittsburgh | $1,965.60 | $720.72 – $2,784.60 |
| UPMC St. Margaret | Pittsburgh | $1,650.60 | $550.20 – $2,338.35 |