healthcosts.net
Monitor reveal linq ii cardiac at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$26,418.60
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.
$44,031.00
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.
$1,999.80 with Highmark Wholecare (prev Gateway) vs $25,218.30 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $1,999.80 | ↓ -92% |
| Highmark BCBS of PA | Medicare Advantage | $2,381.37 | ↓ -91% |
| Aetna | CHIP/Medicaid | $2,999.70 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $3,166.35 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,958.29 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,030.12 | ↓ -85% |
| Aetna | Medicare | $4,166.25 | ↓ -84% |
| Highmark BCBS of PA | Managed Care | $5,300.69 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,396.76 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $5,499.45 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5,637.77 | ↓ -79% |
| Aetna | First Health | $8,332.50 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $8,332.50 | ↓ -68% |
| Highmark BCBS of PA | UPMC Emergent | $10,601.39 | ↓ -60% |
| Preferred Healthcare System | PPO | $10,832.25 | ↓ -59% |
| Coventry/First Health | Commercial | $11,665.50 | ↓ -56% |
| Fidelis | Medicare | $12,498.75 | ↓ -53% |
| InterGroup | InterGroup Services Corporation | $12,498.75 | ↓ -53% |
| Health Coalition Partners | Intergroup | $13,332.00 | ↓ -50% |
| Multiplan | PPO | $13,332.00 | ↓ -50% |
| Private Health Care Systems | PPO | $13,332.00 | ↓ -50% |
| SelectCare | Commercial | $13,332.00 | ↓ -50% |
| Health Payors Organization | Commercial | $14,165.25 | ↓ -46% |
| Humana | Commercial | $14,165.25 | ↓ -46% |
| InterGroup | Approved National Affiliated PPO Business | $14,165.25 | ↓ -46% |
| UPMC Health Plan | Commercial | $25,218.30 | ↓ -5% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Monitor reveal linq ii cardiac at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $12,370.80 | $2,358.91 – $12,316.42 |
| UPMC Passavant-McCandless | Pittsburgh | $14,856.60 | $2,381.37 – $22,633.86 |
| UPMC Northwest | Seneca | $15,190.20 | $4,209.25 – $18,874.31 |
| UPMC Somerset | Somerset | $13,107.60 | $2,335.05 – $16,384.50 |
| UPMC Williamsport | Williamsport | $12,083.40 | $2,406.80 – $10,830.60 |