Therapeutic procd strg endur at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$93.60
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.
$156.00
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.
$13.34 with Highmark BCBS of PA vs $135.99 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 BCBS of PA | Medicare Advantage | $13.34 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $18.28 | ↓ -80% |
| Cigna Lifesource | Medicare Transplant | $25.22 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $25.22 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $25.22 | ↓ -73% |
| United Healthcare | Medicare | $25.22 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $25.22 | ↓ -73% |
| Aetna of PA | Medicare | $25.68 | ↓ -73% |
| Aetna | Medicare | $25.68 | ↓ -73% |
| Aetna | CHIP/Medicaid | $28.08 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $33.07 | ↓ -65% |
| Highmark BCBS of PA | Managed Care | $44.29 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $62.18 | ↓ -34% |
| Highmark BCBS of PA | Commercial - Indemnity | $83.27 | ↓ -11% |
| Geisinger | Medicaid/CHIP | $85.80 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $88.58 | ↓ -5% |
| Preferred Healthcare System | PPO | $101.40 | ↑ +8% |
| Coventry/First Health | Commercial | $109.20 | ↑ +17% |
| Fidelis | Medicare | $117.00 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $117.00 | ↑ +25% |
| Multiplan | PPO | $124.80 | ↑ +33% |
| Health Coalition Partners | Intergroup | $124.80 | ↑ +33% |
| Private Health Care Systems | PPO | $124.80 | ↑ +33% |
| SelectCare | Commercial | $124.80 | ↑ +33% |
| Health Payors Organization | Commercial | $132.60 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $132.60 | ↑ +42% |
| Humana | Commercial | $132.60 | ↑ +42% |
| UPMC Health Plan | Commercial | $135.99 | ↑ +45% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Therapeutic procd strg endur at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $45.00 | $9.26 – $60.00 |
| UPMC Community Osteopathic | Harrisburg | $186.00 | $19.95 – $263.50 |
| UPMC Hanover | Hanover | $186.00 | $19.95 – $84.11 |
| UPMC Horizon-Greenville | Greenville | $81.60 | $20.91 – $32.05 |
| UPMC Jameson | New Castle | $81.60 | $8.86 – $29.19 |
| UPMC Lititz | Lititz | $186.00 | $19.95 – $84.11 |
| UPMC Somerset | Somerset | $186.00 | $13.08 – $25.22 |
| WellSpan Ephrata Community Hospital | Ephrata | $189.60 | $18.37 – $41.39 |