healthcosts.net
Placement occlusive device venous/arterial access site post procedure at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$942.00
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.
$1,570.00
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.
$266.58 with Aetna vs $3,176.03 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $266.58 | ↓ -72% |
| Aetna | Medicare | $370.25 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $740.50 | ↓ -21% |
| Geisinger | Medicaid/CHIP | $814.55 | ↓ -14% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $931.20 | ↓ -1% |
| Preferred Healthcare System | PPO | $962.65 | ↑ +2% |
| Coventry/First Health | Commercial | $1,036.70 | ↑ +10% |
| Fidelis | Medicare | $1,110.75 | ↑ +18% |
| InterGroup | InterGroup Services Corporation | $1,110.75 | ↑ +18% |
| Health Coalition Partners | Intergroup | $1,184.80 | ↑ +26% |
| Multiplan | PPO | $1,184.80 | ↑ +26% |
| Private Health Care Systems | PPO | $1,184.80 | ↑ +26% |
| SelectCare | Commercial | $1,184.80 | ↑ +26% |
| Health Payors Organization | Commercial | $1,258.85 | ↑ +34% |
| Humana | Commercial | $1,258.85 | ↑ +34% |
| InterGroup | Approved National Affiliated PPO Business | $1,258.85 | ↑ +34% |
| UPMC Health Plan | Commercial | $3,176.03 | ↑ +237% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Placement occlusive device venous/arterial access site post procedure at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $335.40 | $139.75 – $1,551.15 |
| UPMC Passavant-McCandless | Pittsburgh | $1,348.80 | $562.00 – $2,850.54 |
| UPMC St. Margaret | Pittsburgh | $924.60 | $385.25 – $2,410.42 |
| UPMC Northwest | Seneca | $941.40 | $392.25 – $2,377.06 |
| UPMC Somerset | Somerset | $2,304.60 | $892.40 – $2,880.75 |
| UPMC Williamsport | Williamsport | $2,893.80 | $993.28 – $4,340.70 |