healthcosts.net
Rpl non-tun cvc wo sbq prt/pmp at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$3,610.80
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.
$6,018.00
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.
$526.62 with UPMC Health Plan vs $5,115.30 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 | $526.62 | ↓ -85% |
| Highmark BCBS of PA | Medicare Advantage | $589.95 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $634.18 | ↓ -82% |
| Multiplan | Worker's Compensation | $737.42 | ↓ -80% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $931.20 | ↓ -74% |
| Aetna | CHIP/Medicaid | $1,083.24 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,462.42 | ↓ -59% |
| AmeriHealth Caritas | Medicare | $1,599.50 | ↓ -56% |
| Cigna Lifesource | Medicare Transplant | $1,599.50 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,599.50 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,599.50 | ↓ -56% |
| United Healthcare | Medicare | $1,599.50 | ↓ -56% |
| Aetna | Medicare | $1,629.12 | ↓ -55% |
| Aetna of PA | Medicare | $1,629.12 | ↓ -55% |
| Highmark BCBS of PA | Managed Care | $1,958.37 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,003.43 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $3,309.90 | ↓ -8% |
| Preferred Healthcare System | PPO | $3,911.70 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $3,916.73 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,022.24 | ↑ +11% |
| Coventry/First Health | Commercial | $4,212.60 | ↑ +17% |
| Fidelis | Medicare | $4,513.50 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $4,513.50 | ↑ +25% |
| Health Coalition Partners | Intergroup | $4,814.40 | ↑ +33% |
| Multiplan | PPO | $4,814.40 | ↑ +33% |
| Private Health Care Systems | PPO | $4,814.40 | ↑ +33% |
| SelectCare | Commercial | $4,814.40 | ↑ +33% |
| Health Payors Organization | Commercial | $5,115.30 | ↑ +42% |
| Humana | Commercial | $5,115.30 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $5,115.30 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Rpl non-tun cvc wo sbq prt/pmp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,587.20 | $444.00 – $3,880.80 |
| UPMC Muncy | Muncy | $2,281.20 | $547.03 – $3,041.60 |
| UPMC Northwest | Seneca | $2,025.00 | $547.03 – $2,868.75 |
| UPMC Somerset | Somerset | $3,588.60 | $547.03 – $4,485.75 |
| UPMC Wellsboro | Wellsboro | $2,759.20 | $547.03 – $3,104.10 |
| UPMC Williamsport | Williamsport | $2,866.80 | $547.03 – $3,822.40 |