healthcosts.net
Target gsa panel organ neop at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$3,915.00
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.
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What you pay up front if you don't use insurance.
$6,525.00
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.
$421.80 with Highmark BCBS of PA vs $4,566.20 with Humana — 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 BCBS of PA | Medicare Advantage | $421.80 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $478.33 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $526.16 | ↓ -87% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $574.00 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $590.93 | ↓ -85% |
| Aetna | CHIP/Medicaid | $621.83 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $645.74 | ↓ -84% |
| United Healthcare | Medicare | $645.74 | ↓ -84% |
| Cigna Lifesource | Medicare Transplant | $645.74 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $645.74 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $645.74 | ↓ -84% |
| Aetna | Medicare | $657.70 | ↓ -83% |
| Aetna of PA | Medicare | $657.70 | ↓ -83% |
| Multiplan | Worker's Compensation | $687.13 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $701.11 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $709.36 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $744.62 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $756.91 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $815.17 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $938.88 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,108.17 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,484.09 | ↓ -62% |
| Highmark BCBS of PA | UPMC Emergent | $1,877.77 | ↓ -52% |
| UPMC Health Plan | Commercial | $2,489.67 | ↓ -36% |
| Preferred Healthcare System | PPO | $3,491.80 | ↓ -11% |
| Coventry/First Health | Commercial | $3,760.40 | ↓ -4% |
| Fidelis | Medicare | $4,029.00 | ↑ +3% |
| InterGroup | InterGroup Services Corporation | $4,029.00 | ↑ +3% |
| Health Coalition Partners | Intergroup | $4,297.60 | ↑ +10% |
| Private Health Care Systems | PPO | $4,297.60 | ↑ +10% |
| SelectCare | Commercial | $4,297.60 | ↑ +10% |
| Multiplan | PPO | $4,297.60 | ↑ +10% |
| InterGroup | Approved National Affiliated PPO Business | $4,566.20 | ↑ +17% |
| Health Payors Organization | Commercial | $4,566.20 | ↑ +17% |
| Humana | Commercial | $4,566.20 | ↑ +17% |
Visitor-reported prices
Comments
Target gsa panel organ neop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,415.80 | $421.80 – $4,839.05 |
| UPMC Mercy | Pittsburgh | $3,223.20 | $417.82 – $4,834.80 |
| UPMC St. Margaret | Pittsburgh | $3,223.20 | $421.80 – $4,566.20 |
| UPMC Williamsport | Williamsport | $3,073.80 | $526.16 – $4,098.40 |