Pretreat rbc absorption reference at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$892.20
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.
?
What you pay up front if you don't use insurance.
$1,487.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$15.58 with UPMC Health Plan vs $1,263.95 with InterGroup — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Commercial | $15.58 | ↓ -98% |
| Highmark BCBS of PA | Medicare Advantage | $21.28 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $24.86 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $35.37 | ↓ -96% |
| Highmark BCBS of PA | Managed Care | $47.37 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $55.91 | ↓ -94% |
| United Healthcare | Medicare | $61.16 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $61.16 | ↓ -93% |
| Cigna Lifesource | Medicare Transplant | $61.16 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.16 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.16 | ↓ -93% |
| Aetna of PA | Medicare | $62.29 | ↓ -93% |
| Aetna | Medicare | $62.29 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Indemnity | $74.87 | ↓ -92% |
| Highmark BCBS of PA | UPMC Emergent | $94.73 | ↓ -89% |
| Aetna | CHIP/Medicaid | $267.66 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $817.85 | ↓ -8% |
| Preferred Healthcare System | PPO | $966.55 | ↑ +8% |
| Coventry/First Health | Commercial | $1,040.90 | ↑ +17% |
| InterGroup | InterGroup Services Corporation | $1,115.25 | ↑ +25% |
| Fidelis | Medicare | $1,115.25 | ↑ +25% |
| Private Health Care Systems | PPO | $1,189.60 | ↑ +33% |
| Multiplan | PPO | $1,189.60 | ↑ +33% |
| Health Coalition Partners | Intergroup | $1,189.60 | ↑ +33% |
| SelectCare | Commercial | $1,189.60 | ↑ +33% |
| Health Payors Organization | Commercial | $1,263.95 | ↑ +42% |
| Humana | Commercial | $1,263.95 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $1,263.95 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pretreat rbc absorption reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $76.20 | $15.49 – $62.29 |
| UPMC Mercy | Pittsburgh | $210.00 | $14.68 – $62.29 |
| UPMC Passavant-McCandless | Pittsburgh | $49.20 | $14.76 – $62.29 |
| UPMC St. Margaret | Pittsburgh | $268.80 | $14.80 – $62.29 |
| UPMC Altoona | Altoona | $212.40 | $21.08 – $283.20 |
| UPMC Bedford | Everett | $138.60 | $14.84 – $207.90 |
| UPMC East | Monroeville | $163.80 | $14.63 – $218.40 |
| UPMC Hamot | Erie | $165.00 | $19.37 – $70.59 |