healthcosts.net
Tgsap so/hl 51/< rna alys at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$8,626.80
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.
$14,378.00
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.
$1,174.76 with Highmark BCBS of PA vs $5,229.81 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare Advantage | $1,174.76 | ↓ -86% |
| UPMC Health Plan | Commercial | $1,787.45 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,952.68 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,335.68 | ↓ -73% |
| Preferred Healthcare System | PPO | $2,477.80 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $2,569.25 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $2,614.91 | ↓ -70% |
| Coventry/First Health | Commercial | $2,668.40 | ↓ -69% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $2,802.82 | ↓ -68% |
| Fidelis | Medicare | $2,859.00 | ↓ -67% |
| InterGroup | InterGroup Services Corporation | $2,859.00 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $2,885.51 | ↓ -67% |
| Aetna | CHIP/Medicaid | $3,036.38 | ↓ -65% |
| Health Coalition Partners | Intergroup | $3,049.60 | ↓ -65% |
| Private Health Care Systems | PPO | $3,049.60 | ↓ -65% |
| SelectCare | Commercial | $3,049.60 | ↓ -65% |
| Multiplan | PPO | $3,049.60 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,086.38 | ↓ -64% |
| AmeriHealth Caritas | Medicare | $3,153.17 | ↓ -63% |
| United Healthcare | Medicare | $3,153.17 | ↓ -63% |
| Cigna Lifesource | Medicare Transplant | $3,153.17 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,153.17 | ↓ -63% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,153.17 | ↓ -63% |
| Aetna | Medicare | $3,211.56 | ↓ -63% |
| Aetna of PA | Medicare | $3,211.56 | ↓ -63% |
| InterGroup | Approved National Affiliated PPO Business | $3,240.20 | ↓ -62% |
| Health Payors Organization | Commercial | $3,240.20 | ↓ -62% |
| Humana | Commercial | $3,240.20 | ↓ -62% |
| Multiplan | Worker's Compensation | $3,355.24 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,463.81 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $3,635.95 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,695.98 | ↓ -57% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,980.47 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,133.37 | ↓ -52% |
| Highmark BCBS of PA | UPMC Emergent | $5,229.81 | ↓ -39% |
Visitor-reported prices
Comments
Tgsap so/hl 51/< rna alys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,626.80 | $1,174.76 – $3,211.56 |
| UPMC Mercy | Pittsburgh | $2,157.60 | $1,003.28 – $3,236.40 |
| UPMC St. Margaret | Pittsburgh | $2,157.60 | $906.19 – $3,646.23 |
| UPMC Williamsport | Williamsport | $2,116.80 | $1,333.58 – $3,153.17 |