healthcosts.net
Mayo c1 esterase inhibitor at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$115.80
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.
$193.00
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.
$9.96 with United Healthcare Community Plan for Families vs $154.70 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 | $9.96 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $13.44 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $14.69 | ↓ -87% |
| Cigna Lifesource | Medicare Transplant | $14.69 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.69 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.69 | ↓ -87% |
| United Healthcare | Medicare | $14.69 | ↓ -87% |
| Aetna | Medicare | $14.96 | ↓ -87% |
| Aetna of PA | Medicare | $14.96 | ↓ -87% |
| Multiplan | Worker's Compensation | $15.63 | ↓ -87% |
| UPMC Health Plan | Commercial | $19.99 | ↓ -83% |
| Highmark BCBS of PA | Medicare Advantage | $26.55 | ↓ -77% |
| Aetna | CHIP/Medicaid | $32.76 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $44.14 | ↓ -62% |
| Highmark BCBS of PA | Managed Care | $59.10 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $69.76 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $93.42 | ↓ -19% |
| Geisinger | Medicaid/CHIP | $100.10 | ↓ -14% |
| Highmark BCBS of PA | UPMC Emergent | $118.21 | ↑ +2% |
| Preferred Healthcare System | PPO | $118.30 | ↑ +2% |
| Coventry/First Health | Commercial | $127.40 | ↑ +10% |
| Fidelis | Medicare | $136.50 | ↑ +18% |
| InterGroup | InterGroup Services Corporation | $136.50 | ↑ +18% |
| Health Coalition Partners | Intergroup | $145.60 | ↑ +26% |
| Multiplan | PPO | $145.60 | ↑ +26% |
| Private Health Care Systems | PPO | $145.60 | ↑ +26% |
| SelectCare | Commercial | $145.60 | ↑ +26% |
| Health Payors Organization | Commercial | $154.70 | ↑ +34% |
| Humana | Commercial | $154.70 | ↑ +34% |
| InterGroup | Approved National Affiliated PPO Business | $154.70 | ↑ +34% |
Visitor-reported prices
Comments
Mayo c1 esterase inhibitor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $349.80 | $12.64 – $272.00 |
| UPMC Mercy | Pittsburgh | $133.20 | $11.34 – $199.80 |
| UPMC St. Margaret | Pittsburgh | $192.00 | $11.74 – $272.00 |
| UPMC Muncy | Muncy | $130.80 | $10.62 – $174.40 |
| UPMC Northwest | Seneca | $96.60 | $12.33 – $136.85 |
| UPMC Somerset | Somerset | $124.80 | $9.54 – $60.75 |
| UPMC Wellsboro | Wellsboro | $158.40 | $10.62 – $178.20 |
| UPMC Williamsport | Williamsport | $130.80 | $10.62 – $174.40 |