healthcosts.net
T4 (thyroxine) total at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$240.00
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.
$400.00
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.
$6.79 with UPMC Work Partners vs $340.00 with Humana — 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 Work Partners | Workers Comp | $6.79 | ↓ -97% |
| AmeriHealth Caritas | Medicare | $7.42 | ↓ -97% |
| United Healthcare | Medicare | $7.42 | ↓ -97% |
| Cigna Lifesource | Medicare Transplant | $7.42 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.42 | ↓ -97% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7.42 | ↓ -97% |
| Aetna | Medicare | $7.56 | ↓ -97% |
| Aetna of PA | Medicare | $7.56 | ↓ -97% |
| Multiplan | Worker's Compensation | $7.89 | ↓ -97% |
| UPMC Health Plan | Commercial | $8.54 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $9.50 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $10.45 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $11.40 | ↓ -95% |
| Aetna | CHIP/Medicaid | $12.35 | ↓ -95% |
| Highmark BCBS of PA | Medicare Advantage | $13.42 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.09 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $14.79 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.03 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $16.19 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $22.30 | ↓ -91% |
| Highmark BCBS of PA | Managed Care | $29.86 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $35.25 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Indemnity | $47.21 | ↓ -80% |
| Highmark BCBS of PA | UPMC Emergent | $59.73 | ↓ -75% |
| Preferred Healthcare System | PPO | $260.00 | ↑ +8% |
| Coventry/First Health | Commercial | $280.00 | ↑ +17% |
| Fidelis | Medicare | $300.00 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $300.00 | ↑ +25% |
| Health Coalition Partners | Intergroup | $320.00 | ↑ +33% |
| Private Health Care Systems | PPO | $320.00 | ↑ +33% |
| SelectCare | Commercial | $320.00 | ↑ +33% |
| Multiplan | PPO | $320.00 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $340.00 | ↑ +42% |
| Health Payors Organization | Commercial | $340.00 | ↑ +42% |
| Humana | Commercial | $340.00 | ↑ +42% |
Visitor-reported prices
Comments
T4 (thyroxine) total at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $204.00 | $6.38 – $272.85 |
| UPMC Mercy | Pittsburgh | $80.40 | $5.73 – $120.60 |
| UPMC St. Margaret | Pittsburgh | $91.80 | $5.93 – $130.05 |
| UPMC Muncy | Muncy | $82.80 | $6.79 – $110.40 |
| UPMC Northwest | Seneca | $45.00 | $6.23 – $63.75 |
| UPMC Somerset | Somerset | $34.20 | $6.79 – $42.75 |
| UPMC Wellsboro | Wellsboro | $100.00 | $6.79 – $112.50 |
| UPMC Williamsport | Williamsport | $82.80 | $6.79 – $110.40 |