healthcosts.net
Prq trluml c athrc 1 art&/br at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$40,864.80
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.
$68,108.00
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.
$507.59 with Highmark BCBS of PA vs $57,891.80 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare Advantage | $507.59 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $931.20 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $1,022.98 | ↓ -97% |
| Multiplan | Worker's Compensation | $1,189.51 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,258.26 | ↓ -97% |
| Highmark BCBS of PA | Managed Care | $1,684.97 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,365.60 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,168.12 | ↓ -92% |
| Highmark BCBS of PA | UPMC Emergent | $3,369.94 | ↓ -92% |
| Aetna | CHIP/Medicaid | $12,259.44 | ↓ -70% |
| Aetna | Medicare | $17,027.00 | ↓ -58% |
| UPMC Health Plan | Commercial | $31,935.84 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicare | $34,054.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $37,459.40 | ↓ -8% |
| Preferred Healthcare System | PPO | $44,270.20 | ↑ +8% |
| Coventry/First Health | Commercial | $47,675.60 | ↑ +17% |
| Fidelis | Medicare | $51,081.00 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $51,081.00 | ↑ +25% |
| Health Coalition Partners | Intergroup | $54,486.40 | ↑ +33% |
| Multiplan | PPO | $54,486.40 | ↑ +33% |
| Private Health Care Systems | PPO | $54,486.40 | ↑ +33% |
| SelectCare | Commercial | $54,486.40 | ↑ +33% |
| Health Payors Organization | Commercial | $57,891.80 | ↑ +42% |
| Humana | Commercial | $57,891.80 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $57,891.80 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Prq trluml c athrc 1 art&/br at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $33,162.60 | $507.59 – $46,980.35 |
| UPMC Somerset | Somerset | $17,281.80 | $497.72 – $21,602.25 |