healthcosts.net
Platelet aggregation each agent teg at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$400.20
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.
$667.00
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.
$24.62 with UPMC Work Partners vs $402.90 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $24.62 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $26.90 | ↓ -93% |
| United Healthcare | Medicare | $26.90 | ↓ -93% |
| Cigna Lifesource | Medicare Transplant | $26.90 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $26.90 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $26.90 | ↓ -93% |
| Aetna | Medicare | $27.40 | ↓ -93% |
| Aetna of PA | Medicare | $27.40 | ↓ -93% |
| Multiplan | Worker's Compensation | $28.63 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $29.31 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $32.24 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $35.17 | ↓ -91% |
| Aetna | CHIP/Medicaid | $38.10 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $43.47 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $45.63 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $46.38 | ↓ -88% |
| UPMC Health Plan | Commercial | $47.52 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $49.95 | ↓ -88% |
| Highmark BCBS of PA | Medicare Advantage | $58.96 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $98.00 | ↓ -76% |
| Highmark BCBS of PA | Managed Care | $131.24 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $154.90 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity | $207.45 | ↓ -48% |
| Highmark BCBS of PA | UPMC Emergent | $262.48 | ↓ -34% |
| Preferred Healthcare System | PPO | $308.10 | ↓ -23% |
| Coventry/First Health | Commercial | $331.80 | ↓ -17% |
| Fidelis | Medicare | $355.50 | ↓ -11% |
| InterGroup | InterGroup Services Corporation | $355.50 | ↓ -11% |
| Health Coalition Partners | Intergroup | $379.20 | ↓ -5% |
| Private Health Care Systems | PPO | $379.20 | ↓ -5% |
| SelectCare | Commercial | $379.20 | ↓ -5% |
| Multiplan | PPO | $379.20 | ↓ -5% |
| InterGroup | Approved National Affiliated PPO Business | $402.90 | ↑ +1% |
| Health Payors Organization | Commercial | $402.90 | ↑ +1% |
| Humana | Commercial | $402.90 | ↑ +1% |
Visitor-reported prices
Comments
Platelet aggregation each agent teg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $166.20 | $23.15 – $235.45 |
| UPMC Mercy | Pittsburgh | $227.40 | $20.76 – $341.10 |
| UPMC St. Margaret | Pittsburgh | $202.80 | $21.51 – $287.30 |
| UPMC Muncy | Muncy | $385.80 | $24.62 – $514.40 |
| UPMC Northwest | Seneca | $153.00 | $22.59 – $216.75 |
| UPMC Somerset | Somerset | $126.00 | $24.62 – $157.50 |
| UPMC Wellsboro | Wellsboro | $466.40 | $24.62 – $524.70 |
| UPMC Williamsport | Williamsport | $385.80 | $24.62 – $514.40 |