healthcosts.net
Pelvic MRI (with and without contrast) at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$9,808.20
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.
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What you pay up front if you don't use insurance.
$16,347.00
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.
$367.72 with AmeriHealth Caritas vs $13,894.95 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 |
|---|---|---|---|
| AmeriHealth Caritas | Medicare | $367.72 | ↓ -96% |
| United Healthcare | Medicare | $367.72 | ↓ -96% |
| Cigna Lifesource | Medicare Transplant | $367.72 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.72 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $367.72 | ↓ -96% |
| Aetna | Medicare | $374.53 | ↓ -96% |
| Aetna of PA | Medicare | $374.53 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $566.71 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $634.56 | ↓ -94% |
| Aetna | CHIP/Medicaid | $749.93 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $855.50 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $869.92 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $898.01 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $912.84 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $983.10 | ↓ -90% |
| Highmark BCBS of PA | Medicare Advantage | $1,010.40 | ↓ -90% |
| Premier Comp Solutions | Worker's Comp | $2,204.25 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $2,369.57 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,504.65 | ↓ -74% |
| Multiplan | Worker's Compensation | $2,755.31 | ↓ -72% |
| Highmark BCBS of PA | Managed Care | $3,354.06 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,724.14 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,326.79 | ↓ -35% |
| Highmark BCBS of PA | UPMC Emergent | $6,708.12 | ↓ -32% |
| UPMC Health Plan | Commercial | $7,665.11 | ↓ -22% |
| Preferred Healthcare System | PPO | $10,625.55 | ↑ +8% |
| Coventry/First Health | Commercial | $11,442.90 | ↑ +17% |
| Fidelis | Medicare | $12,260.25 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $12,260.25 | ↑ +25% |
| Health Coalition Partners | Intergroup | $13,077.60 | ↑ +33% |
| Private Health Care Systems | PPO | $13,077.60 | ↑ +33% |
| SelectCare | Commercial | $13,077.60 | ↑ +33% |
| Multiplan | PPO | $13,077.60 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $13,894.95 | ↑ +42% |
| Health Payors Organization | Commercial | $13,894.95 | ↑ +42% |
| Humana | Commercial | $13,894.95 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic MRI (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,999.40 | $316.41 – $8,499.15 |
| UPMC Magee | Pittsburgh | $6,741.00 | $318.66 – $10,336.20 |
| UPMC Mercy | Pittsburgh | $6,512.40 | $283.82 – $9,768.60 |
| UPMC St. Margaret | Pittsburgh | $5,810.40 | $293.97 – $8,231.40 |
| UPMC East | Monroeville | $6,218.40 | $341.40 – $8,291.20 |
| UPMC Hamot | Erie | $2,415.00 | $271.09 – $2,817.50 |
| UPMC Horizon-Greenville | Greenville | $4,192.80 | $304.83 – $5,939.80 |
| UPMC McKeesport | Mckeesport | $6,049.20 | $315.59 – $8,569.70 |