healthcosts.net
Perq clsr tcat l atr apndge at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$5,311.20
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.
$8,852.00
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.
$569.53 with United Healthcare Community Plan for Families vs $7,524.20 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $569.53 | ↓ -89% |
| Highmark BCBS of PA | Medicare Advantage | $711.29 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $1,181.58 | ↓ -78% |
| Multiplan | Worker's Compensation | $1,373.93 | ↓ -74% |
| Aetna | CHIP/Medicaid | $1,593.36 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,763.19 | ↓ -67% |
| Aetna | Medicare | $2,213.00 | ↓ -58% |
| Highmark BCBS of PA | Managed Care | $2,361.14 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,621.14 | ↓ -32% |
| UPMC Health Plan | Commercial | $4,150.70 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicare | $4,426.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $4,722.28 | ↓ -11% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,849.49 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $4,868.60 | ↓ -8% |
| Preferred Healthcare System | PPO | $5,753.80 | ↑ +8% |
| Coventry/First Health | Commercial | $6,196.40 | ↑ +17% |
| Fidelis | Medicare | $6,639.00 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $6,639.00 | ↑ +25% |
| Health Coalition Partners | Intergroup | $7,081.60 | ↑ +33% |
| Multiplan | PPO | $7,081.60 | ↑ +33% |
| Private Health Care Systems | PPO | $7,081.60 | ↑ +33% |
| SelectCare | Commercial | $7,081.60 | ↑ +33% |
| Health Payors Organization | Commercial | $7,524.20 | ↑ +42% |
| Humana | Commercial | $7,524.20 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $7,524.20 | ↑ +42% |
Visitor-reported prices
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Perq clsr tcat l atr apndge at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,855.60 | $711.29 – $5,462.10 |
| UPMC Somerset | Somerset | $5,606.40 | $545.80 – $7,008.00 |