Pt prgrm for implt neurostim at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$1,780.80
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.
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What you pay up front if you don't use insurance.
$2,968.00
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.
$243.24 with Highmark Wholecare (prev Gateway) vs $8,381.84 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $243.24 | ↓ -86% |
| Aetna | CHIP/Medicaid | $364.86 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $385.13 | ↓ -78% |
| Aetna | Medicare | $506.75 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $668.91 | ↓ -62% |
| Aetna | First Health | $1,013.50 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,013.50 | ↓ -43% |
| Preferred Healthcare System | PPO | $1,317.55 | ↓ -26% |
| Coventry/First Health | Commercial | $1,418.90 | ↓ -20% |
| Fidelis | Medicare | $1,520.25 | ↓ -15% |
| InterGroup | InterGroup Services Corporation | $1,520.25 | ↓ -15% |
| SelectCare | Commercial | $1,621.60 | ↓ -9% |
| Multiplan | PPO | $1,621.60 | ↓ -9% |
| Private Health Care Systems | PPO | $1,621.60 | ↓ -9% |
| Health Coalition Partners | Intergroup | $1,621.60 | ↓ -9% |
| Highmark BCBS of PA | Medicare Advantage | $1,623.47 | ↓ -9% |
| InterGroup | Approved National Affiliated PPO Business | $1,722.95 | ↓ -3% |
| Humana | Commercial | $1,722.95 | ↓ -3% |
| Health Payors Organization | Commercial | $1,722.95 | ↓ -3% |
| UPMC Work Partners | Workers Comp | $2,027.87 | ↑ +14% |
| Multiplan | Worker's Compensation | $2,357.99 | ↑ +32% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,698.52 | ↑ +52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,747.49 | ↑ +54% |
| Highmark BCBS of PA | Managed Care | $3,613.69 | ↑ +103% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,679.18 | ↑ +107% |
| Highmark BCBS of PA | UPMC Emergent | $7,227.37 | ↑ +306% |
| UPMC Health Plan | Commercial | $8,381.84 | ↑ +371% |
Visitor-reported prices
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Pt prgrm for implt neurostim at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,143.80 | $1,608.16 – $4,093.62 |
| UPMC Passavant-McCandless | Pittsburgh | $3,354.00 | $1,623.47 – $7,522.84 |
| UPMC Altoona | Altoona | $2,188.20 | $692.93 – $5,184.14 |
| UPMC East | Monroeville | $2,143.80 | $678.87 – $5,184.14 |
| UPMC Horizon-Greenville | Greenville | $2,364.60 | $2,027.87 – $5,184.14 |
| UPMC McKeesport | Mckeesport | $2,656.80 | $698.41 – $5,184.14 |
| UPMC Muncy | Muncy | $2,533.80 | $2,027.87 – $2,169.35 |