healthcosts.net
Nerve teasing preparations at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$4,494.00
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.
$7,490.00
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.
$36.96 with United Healthcare Community Plan for Families vs $6,366.50 with Humana — 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 | $36.96 | ↓ -99% |
| UPMC Health Plan | Commercial | $55.75 | ↓ -99% |
| Highmark BCBS of PA | Medicare Advantage | $70.09 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $116.50 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $130.16 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $143.18 | ↓ -97% |
| Highmark BCBS of PA | Managed Care | $156.01 | ↓ -97% |
| Aetna | CHIP/Medicaid | $169.21 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $184.14 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $193.03 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $202.62 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $205.97 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $221.82 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Indemnity | $246.60 | ↓ -95% |
| Highmark BCBS of PA | UPMC Emergent | $312.01 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $841.13 | ↓ -81% |
| United Healthcare | Medicare | $841.13 | ↓ -81% |
| Cigna Lifesource | Medicare Transplant | $841.13 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $841.13 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $841.13 | ↓ -81% |
| Aetna | Medicare | $856.70 | ↓ -81% |
| Aetna of PA | Medicare | $856.70 | ↓ -81% |
| Preferred Healthcare System | PPO | $4,868.50 | ↑ +8% |
| Coventry/First Health | Commercial | $5,243.00 | ↑ +17% |
| Fidelis | Medicare | $5,617.50 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $5,617.50 | ↑ +25% |
| Health Coalition Partners | Intergroup | $5,992.00 | ↑ +33% |
| Private Health Care Systems | PPO | $5,992.00 | ↑ +33% |
| SelectCare | Commercial | $5,992.00 | ↑ +33% |
| Multiplan | PPO | $5,992.00 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $6,366.50 | ↑ +42% |
| Health Payors Organization | Commercial | $6,366.50 | ↑ +42% |
| Humana | Commercial | $6,366.50 | ↑ +42% |
| Multiplan | Worker's Compensation | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nerve teasing preparations at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $356.40 | $52.53 – $817.76 |
| UPMC Passavant-McCandless | Pittsburgh | $159.60 | $52.84 – $856.70 |
| UPMC St. Margaret | Pittsburgh | $204.00 | $52.97 – $817.76 |
| UPMC Wellsboro | Wellsboro | $1,171.20 | $39.42 – $1,317.60 |