Myocrd img pet 1std rst/strs at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$12,446.40
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.
$20,744.00
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.
$1,234.49 with UPMC Health Plan vs $17,632.40 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $1,234.49 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,275.42 | ↓ -90% |
| Aetna | CHIP/Medicaid | $1,458.94 | ↓ -88% |
| Cigna Lifesource | Medicare Transplant | $1,501.84 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $1,501.84 | ↓ -88% |
| United Healthcare | Medicare | $1,501.84 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,501.84 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,501.84 | ↓ -88% |
| Highmark BCBS of PA | Medicare Advantage | $1,527.00 | ↓ -88% |
| Aetna of PA | Medicare | $1,529.65 | ↓ -88% |
| Aetna | Medicare | $1,529.65 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,664.31 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,692.37 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $1,747.02 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,775.86 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,912.56 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,785.24 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $5,068.93 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,139.52 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Indemnity | $9,561.56 | ↓ -23% |
| UPMC Health Plan | Commercial | $9,726.86 | ↓ -22% |
| Highmark BCBS of PA | UPMC Emergent | $10,137.86 | ↓ -19% |
| Preferred Healthcare System | PPO | $13,483.60 | ↑ +8% |
| Coventry/First Health | Commercial | $14,520.80 | ↑ +17% |
| Fidelis | Medicare | $15,558.00 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $15,558.00 | ↑ +25% |
| Multiplan | PPO | $16,595.20 | ↑ +33% |
| Private Health Care Systems | PPO | $16,595.20 | ↑ +33% |
| SelectCare | Commercial | $16,595.20 | ↑ +33% |
| Health Coalition Partners | Intergroup | $16,595.20 | ↑ +33% |
| Humana | Commercial | $17,632.40 | ↑ +42% |
| Health Payors Organization | Commercial | $17,632.40 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $17,632.40 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Myocrd img pet 1std rst/strs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,639.40 | $800.00 – $7,989.15 |
| UPMC Community Osteopathic | Harrisburg | $5,639.40 | $1,392.33 – $7,989.15 |
| UPMC Hanover | Hanover | $5,639.40 | $800.00 – $2,229.42 |
| UPMC Kane | Kane | $3,932.40 | $1,234.49 – $5,943.13 |
| UPMC Lititz | Lititz | $5,639.40 | $800.00 – $2,241.47 |
| UPMC Memorial | York | $5,639.40 | $800.00 – $7,091.44 |
| UPMC Somerset | Somerset | $5,639.40 | $1,222.28 – $1,559.83 |