healthcosts.net
Protector nerve neurawrap 4cm at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$8,752.20
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.
$14,587.00
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.
$1,715.04 with Highmark Wholecare (prev Gateway) vs $14,577.84 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $1,715.04 | ↓ -80% |
| Aetna | CHIP/Medicaid | $2,572.56 | ↓ -71% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,715.48 | ↓ -69% |
| Aetna | Medicare | $3,573.00 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $4,716.36 | ↓ -46% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4,834.98 | ↓ -45% |
| UPMC Health Plan | Commercial | $6,701.52 | ↓ -23% |
| Aetna | First Health | $7,146.00 | ↓ -18% |
| Highmark BCBS of PA | Medicare Advantage | $7,146.00 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,146.00 | ↓ -18% |
| Highmark BCBS of PA | Managed Care | $7,288.92 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,288.92 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,574.76 | ↓ -13% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,574.76 | ↓ -13% |
| Preferred Healthcare System | PPO | $9,289.80 | ↑ +6% |
| Coventry/First Health | Commercial | $10,004.40 | ↑ +14% |
| Fidelis | Medicare | $10,719.00 | ↑ +22% |
| InterGroup | InterGroup Services Corporation | $10,719.00 | ↑ +22% |
| Health Coalition Partners | Intergroup | $11,433.60 | ↑ +31% |
| Multiplan | PPO | $11,433.60 | ↑ +31% |
| Private Health Care Systems | PPO | $11,433.60 | ↑ +31% |
| SelectCare | Commercial | $11,433.60 | ↑ +31% |
| Health Payors Organization | Commercial | $12,148.20 | ↑ +39% |
| Humana | Commercial | $12,148.20 | ↑ +39% |
| InterGroup | Approved National Affiliated PPO Business | $12,148.20 | ↑ +39% |
| Highmark BCBS of PA | UPMC Emergent | $14,577.84 | ↑ +67% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Protector nerve neurawrap 4cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $5,400.00 | $1,344.00 – $5,040.00 |
| UPMC Passavant-McCandless | Pittsburgh | $6,432.60 | $1,232.00 – $4,760.00 |
| UPMC St. Margaret | Pittsburgh | $4,277.40 | $1,187.20 – $5,045.60 |