healthcosts.net
Navigational bronchoscopy 31627 at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$29,249.40
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.
?
What you pay up front if you don't use insurance.
$48,749.00
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.
$69.46 with United Healthcare Community Plan for Families vs $41,436.65 with InterGroup — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $69.46 | ↓ -100% |
| UPMC Health Plan | Commercial | $845.43 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $1,973.84 | ↓ -93% |
| Highmark BCBS of PA | Medicare Advantage | $2,032.83 | ↓ -93% |
| Multiplan | Worker's Compensation | $2,295.16 | ↓ -92% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,039.12 | ↓ -83% |
| Highmark BCBS of PA | Managed Care | $6,748.05 | ↓ -77% |
| Aetna | CHIP/Medicaid | $8,774.82 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10,349.08 | ↓ -65% |
| Aetna | Medicare | $12,187.25 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $13,496.09 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity | $13,859.65 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $24,374.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $26,811.95 | ↓ -8% |
| Preferred Healthcare System | PPO | $31,686.85 | ↑ +8% |
| Coventry/First Health | Commercial | $34,124.30 | ↑ +17% |
| Fidelis | Medicare | $36,561.75 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $36,561.75 | ↑ +25% |
| Health Coalition Partners | Intergroup | $38,999.20 | ↑ +33% |
| Multiplan | PPO | $38,999.20 | ↑ +33% |
| Private Health Care Systems | PPO | $38,999.20 | ↑ +33% |
| SelectCare | Commercial | $38,999.20 | ↑ +33% |
| Health Payors Organization | Commercial | $41,436.65 | ↑ +42% |
| Humana | Commercial | $41,436.65 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $41,436.65 | ↑ +42% |
Visitor-reported prices
Comments
Navigational bronchoscopy 31627 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $10,068.60 | $831.39 – $14,263.85 |
| UPMC Mercy | Pittsburgh | not published | $824.70 – $2,013.66 |
| UPMC Somerset | Somerset | $1,062.00 | $66.56 – $1,993.29 |
| UPMC Wellsboro | Wellsboro | $6,768.80 | $74.09 – $7,614.90 |
| UPMC Williamsport | Williamsport | $5,596.80 | $74.09 – $7,462.40 |