Plc pq device breast ea addl lesion Ultrasound guide at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$2,660.40
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.
$4,434.00
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.
$37.38 with UPMC Health Plan vs $3,768.90 with Health Payors Organization — 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 Health Plan | Managed Medicaid | $37.38 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $40.78 | ↓ -98% |
| Aetna | CHIP/Medicaid | $44.17 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $50.39 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.24 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $52.90 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $53.77 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $57.91 | ↓ -98% |
| UPMC Health Plan | Commercial | $232.39 | ↓ -91% |
| Highmark BCBS of PA | Medicare Advantage | $273.37 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $594.85 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $677.65 | ↓ -75% |
| Multiplan | Worker's Compensation | $691.69 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $907.46 | ↓ -66% |
| Aetna | Medicare | $1,108.50 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,391.71 | ↓ -48% |
| Highmark BCBS of PA | UPMC Emergent | $1,814.91 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,863.80 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,217.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $2,882.10 | ↑ +8% |
| Coventry/First Health | Commercial | $3,103.80 | ↑ +17% |
| Fidelis | Medicare | $3,325.50 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $3,325.50 | ↑ +25% |
| Private Health Care Systems | PPO | $3,547.20 | ↑ +33% |
| SelectCare | Commercial | $3,547.20 | ↑ +33% |
| Health Coalition Partners | Intergroup | $3,547.20 | ↑ +33% |
| Multiplan | PPO | $3,547.20 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $3,768.90 | ↑ +42% |
| Humana | Commercial | $3,768.90 | ↑ +42% |
| Health Payors Organization | Commercial | $3,768.90 | ↑ +42% |
Visitor-reported prices
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Plc pq device breast ea addl lesion Ultrasound guide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $1,476.60 | $37.38 – $515.71 |
| UPMC Passavant-McCandless | Pittsburgh | $790.20 | $37.38 – $599.66 |
| UPMC St. Margaret | Pittsburgh | $498.00 | $37.38 – $515.71 |
| UPMC Altoona | Altoona | $592.20 | $33.98 – $789.60 |
| UPMC Bedford | Everett | $3,631.80 | $35.68 – $5,447.70 |
| UPMC Carlisle | Carlisle | $969.00 | $43.15 – $9,539.00 |
| UPMC Cole | Coudersport | $76.80 | $35.48 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $969.00 | $44.51 – $1,372.75 |