healthcosts.net
St evaluation motion fluoroscopic swallow function cine/video at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$827.40
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.
$1,379.00
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.
$46.55 with UPMC Health Plan vs $1,495.48 with Highmark BCBS of PA — 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 | Managed Medicaid | $46.55 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $50.78 | ↓ -94% |
| Aetna | CHIP/Medicaid | $55.02 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $62.76 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $63.82 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $65.88 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $66.97 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $72.12 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $99.05 | ↓ -88% |
| Multiplan | Worker's Compensation | $115.18 | ↓ -86% |
| Highmark BCBS of PA | Medicare Advantage | $225.26 | ↓ -73% |
| UPMC Health Plan | Commercial | $283.49 | ↓ -66% |
| Aetna | Medicare | $344.75 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $558.38 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $689.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $747.74 | ↓ -10% |
| Preferred Healthcare System | PPO | $896.35 | ↑ +8% |
| Coventry/First Health | Commercial | $965.30 | ↑ +17% |
| Fidelis | Medicare | $1,034.25 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $1,034.25 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,049.79 | ↑ +27% |
| Health Coalition Partners | Intergroup | $1,103.20 | ↑ +33% |
| Multiplan | PPO | $1,103.20 | ↑ +33% |
| Private Health Care Systems | PPO | $1,103.20 | ↑ +33% |
| SelectCare | Commercial | $1,103.20 | ↑ +33% |
| Health Payors Organization | Commercial | $1,172.15 | ↑ +42% |
| Humana | Commercial | $1,172.15 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $1,172.15 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,405.92 | ↑ +70% |
| Highmark BCBS of PA | UPMC Emergent | $1,495.48 | ↑ +81% |
Visitor-reported prices
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St evaluation motion fluoroscopic swallow function cine/video at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $543.00 | $46.55 – $814.50 |
| UPMC Passavant-McCandless | Pittsburgh | $638.40 | $46.55 – $904.40 |
| UPMC St. Margaret | Pittsburgh | $490.80 | $46.55 – $695.30 |
| UPMC Muncy | Muncy | $249.60 | $46.55 – $332.80 |
| UPMC Northwest | Seneca | $455.40 | $46.55 – $645.15 |
| UPMC Somerset | Somerset | $263.40 | $46.55 – $329.25 |
| UPMC Wellsboro | Wellsboro | $301.60 | $46.55 – $339.30 |
| UPMC Williamsport | Williamsport | $249.60 | $46.55 – $332.80 |