healthcosts.net
Stent axios caut enh 15x10mm electrocaut at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$58,726.80
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.
$97,878.00
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.
$51.12 with Highmark Wholecare (prev Gateway) vs $17,228.06 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 | $51.12 | ↓ -100% |
| Aetna | CHIP/Medicaid | $76.68 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $80.94 | ↓ -100% |
| Aetna | Medicare | $106.50 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $140.58 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $144.12 | ↓ -100% |
| Aetna | First Health | $213.00 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $213.00 | ↓ -100% |
| Preferred Healthcare System | PPO | $276.90 | ↓ -100% |
| Coventry/First Health | Commercial | $298.20 | ↓ -99% |
| Fidelis | Medicare | $319.50 | ↓ -99% |
| InterGroup | InterGroup Services Corporation | $319.50 | ↓ -99% |
| Health Coalition Partners | Intergroup | $340.80 | ↓ -99% |
| Multiplan | PPO | $340.80 | ↓ -99% |
| Private Health Care Systems | PPO | $340.80 | ↓ -99% |
| SelectCare | Commercial | $340.80 | ↓ -99% |
| Health Payors Organization | Commercial | $362.10 | ↓ -99% |
| Humana | Commercial | $362.10 | ↓ -99% |
| InterGroup | Approved National Affiliated PPO Business | $362.10 | ↓ -99% |
| Highmark BCBS of PA | Medicare Advantage | $1,695.36 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,818.01 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,869.15 | ↓ -95% |
| Highmark BCBS of PA | Managed Care | $3,773.70 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,842.10 | ↓ -93% |
| Highmark BCBS of PA | UPMC Emergent | $7,547.41 | ↓ -87% |
| UPMC Health Plan | Commercial | $17,228.06 | ↓ -71% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Stent axios caut enh 15x10mm electrocaut at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $44,044.80 | $568.08 – $8,414.05 |
| UPMC Passavant-McCandless | Pittsburgh | $44,044.80 | $198.66 – $15,462.48 |
| UPMC St. Margaret | Pittsburgh | $30,010.80 | $421.40 – $13,075.07 |
| UPMC Muncy | Muncy | $8,935.20 | $1,687.65 – $10,125.90 |
| UPMC Northwest | Seneca | $4,290.60 | $928.50 – $12,894.12 |
| UPMC Somerset | Somerset | $10,104.60 | $1,299.80 – $6,382.27 |
| UPMC Wellsboro | Wellsboro | $11,702.40 | $1,446.84 – $7,234.20 |
| UPMC Williamsport | Williamsport | $32,602.80 | $258.00 – $1,161.00 |