healthcosts.net
Pt wheelchair management each 15 minutes at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$166.20
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.
$277.00
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.
$23.57 with United Healthcare Community Plan for Families vs $235.45 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $23.57 | ↓ -86% |
| Highmark BCBS of PA | Medicare Advantage | $25.73 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $33.40 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $39.32 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $42.76 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $43.54 | ↓ -74% |
| Multiplan | Worker's Compensation | $45.72 | ↓ -72% |
| Aetna | CHIP/Medicaid | $49.86 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $57.27 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Indemnity | $58.30 | ↓ -65% |
| Aetna | Medicare | $69.25 | ↓ -58% |
| UPMC Health Plan | Commercial | $112.18 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $114.53 | ↓ -31% |
| Highmark Wholecare (prev Gateway) | Medicare | $138.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $152.35 | ↓ -8% |
| Preferred Healthcare System | PPO | $180.05 | ↑ +8% |
| Coventry/First Health | Commercial | $193.90 | ↑ +17% |
| Fidelis | Medicare | $207.75 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $207.75 | ↑ +25% |
| Health Coalition Partners | Intergroup | $221.60 | ↑ +33% |
| Multiplan | PPO | $221.60 | ↑ +33% |
| Private Health Care Systems | PPO | $221.60 | ↑ +33% |
| SelectCare | Commercial | $221.60 | ↑ +33% |
| Health Payors Organization | Commercial | $235.45 | ↑ +42% |
| Humana | Commercial | $235.45 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $235.45 | ↑ +42% |
Visitor-reported prices
Comments
Pt wheelchair management each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $72.00 | $25.48 – $108.00 |
| UPMC Passavant-McCandless | Pittsburgh | $121.20 | $25.73 – $171.70 |
| UPMC St. Margaret | Pittsburgh | $76.20 | $25.73 – $107.95 |
| UPMC Muncy | Muncy | $165.60 | $25.14 – $220.80 |
| UPMC Northwest | Seneca | $67.20 | $28.00 – $95.20 |
| UPMC Somerset | Somerset | $60.60 | $22.59 – $75.75 |
| UPMC Wellsboro | Wellsboro | $200.00 | $25.14 – $225.00 |
| UPMC Williamsport | Williamsport | $165.60 | $25.14 – $220.80 |