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Splint dorsal bloc wh med perf 3.2mm lf polyflex ii at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$4,211.40
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.
$7,019.00
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.
$293.72 with UPMC Health Plan vs $5,966.15 with InterGroup — 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $293.72 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $300.00 | ↓ -93% |
| Highmark BCBS of PA | Medicare Advantage | $511.50 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $723.38 | ↓ -83% |
| Multiplan | Worker's Compensation | $841.14 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $850.20 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $865.63 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $1,138.54 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,159.17 | ↓ -72% |
| Aetna | CHIP/Medicaid | $1,263.42 | ↓ -70% |
| Aetna | Medicare | $1,754.75 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $2,277.08 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,509.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $3,860.45 | ↓ -8% |
| Preferred Healthcare System | PPO | $4,562.35 | ↑ +8% |
| Coventry/First Health | Commercial | $4,913.30 | ↑ +17% |
| Fidelis | Medicare | $5,264.25 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $5,264.25 | ↑ +25% |
| Health Coalition Partners | Intergroup | $5,615.20 | ↑ +33% |
| Multiplan | PPO | $5,615.20 | ↑ +33% |
| Private Health Care Systems | PPO | $5,615.20 | ↑ +33% |
| SelectCare | Commercial | $5,615.20 | ↑ +33% |
| Health Payors Organization | Commercial | $5,966.15 | ↑ +42% |
| Humana | Commercial | $5,966.15 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $5,966.15 | ↑ +42% |
Visitor-reported prices
Comments
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $4,073.40 | $143.45 – $6,110.10 |
| UPMC Passavant-McCandless | Pittsburgh | $2,893.80 | $263.62 – $4,099.55 |
| UPMC Muncy | Muncy | $542.40 | $135.60 – $773.85 |
| UPMC Wellsboro | Wellsboro | $656.00 | $147.60 – $738.00 |