healthcosts.net
Mayo estrone at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$124.20
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.
$207.00
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.
$13.00 with Health Partners Plans (Jefferson Health Plan) vs $216.78 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.00 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $14.30 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $15.60 | ↓ -87% |
| Aetna | CHIP/Medicaid | $16.90 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.28 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $20.24 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20.57 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $22.15 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $24.66 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $26.95 | ↓ -78% |
| United Healthcare | Medicare | $26.95 | ↓ -78% |
| Cigna Lifesource | Medicare Transplant | $26.95 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $26.95 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $26.95 | ↓ -78% |
| Aetna | Medicare | $27.45 | ↓ -78% |
| Aetna of PA | Medicare | $27.45 | ↓ -78% |
| Multiplan | Worker's Compensation | $28.67 | ↓ -77% |
| UPMC Health Plan | Commercial | $38.27 | ↓ -69% |
| Highmark BCBS of PA | Medicare Advantage | $48.70 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $80.94 | ↓ -35% |
| Highmark BCBS of PA | Managed Care | $108.39 | ↓ -13% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $127.93 | ↑ +3% |
| Preferred Healthcare System | PPO | $134.55 | ↑ +8% |
| Coventry/First Health | Commercial | $144.90 | ↑ +17% |
| Fidelis | Medicare | $155.25 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $155.25 | ↑ +25% |
| Health Coalition Partners | Intergroup | $165.60 | ↑ +33% |
| Private Health Care Systems | PPO | $165.60 | ↑ +33% |
| SelectCare | Commercial | $165.60 | ↑ +33% |
| Multiplan | PPO | $165.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $171.33 | ↑ +38% |
| InterGroup | Approved National Affiliated PPO Business | $175.95 | ↑ +42% |
| Health Payors Organization | Commercial | $175.95 | ↑ +42% |
| Humana | Commercial | $175.95 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $216.78 | ↑ +75% |
Visitor-reported prices
Comments
Mayo estrone at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $490.20 | $14.30 – $694.45 |
| UPMC Mercy | Pittsburgh | $241.20 | $14.30 – $361.80 |
| UPMC St. Margaret | Pittsburgh | $253.20 | $14.30 – $358.70 |
| UPMC Muncy | Muncy | $177.60 | $14.30 – $236.80 |
| UPMC Northwest | Seneca | $165.00 | $14.30 – $233.75 |
| UPMC Somerset | Somerset | $126.60 | $14.30 – $158.25 |
| UPMC Wellsboro | Wellsboro | $215.20 | $13.00 – $242.10 |
| UPMC Williamsport | Williamsport | $177.60 | $14.30 – $236.80 |