healthcosts.net
Vitamin D Test at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$169.20
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.
$282.00
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.
$29.26 with UPMC Work Partners vs $257.13 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $29.26 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $31.97 | ↓ -81% |
| United Healthcare | Medicare | $31.97 | ↓ -81% |
| Cigna Lifesource | Medicare Transplant | $31.97 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $31.97 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $31.97 | ↓ -81% |
| Aetna | Medicare | $32.56 | ↓ -81% |
| Aetna of PA | Medicare | $32.56 | ↓ -81% |
| Multiplan | Worker's Compensation | $34.02 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $40.91 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $45.00 | ↓ -73% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $49.09 | ↓ -71% |
| UPMC Health Plan | Commercial | $51.01 | ↓ -70% |
| Aetna | CHIP/Medicaid | $53.18 | ↓ -69% |
| Highmark BCBS of PA | Medicare Advantage | $57.76 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicaid | $60.67 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $63.68 | ↓ -62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $64.74 | ↓ -62% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $69.72 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $96.01 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $128.56 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $151.75 | ↓ -10% |
| Preferred Healthcare System | PPO | $183.30 | ↑ +8% |
| Coventry/First Health | Commercial | $197.40 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $203.22 | ↑ +20% |
| Fidelis | Medicare | $211.50 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $211.50 | ↑ +25% |
| Health Coalition Partners | Intergroup | $225.60 | ↑ +33% |
| Private Health Care Systems | PPO | $225.60 | ↑ +33% |
| SelectCare | Commercial | $225.60 | ↑ +33% |
| Multiplan | PPO | $225.60 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $239.70 | ↑ +42% |
| Health Payors Organization | Commercial | $239.70 | ↑ +42% |
| Humana | Commercial | $239.70 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $257.13 | ↑ +52% |
Visitor-reported prices
Comments
Vitamin D Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $532.20 | $3.06 – $57.76 |
| UPMC Magee | Pittsburgh | $205.80 | $3.24 – $69.72 |
| UPMC Mercy | Pittsburgh | $223.80 | $24.67 – $335.70 |
| UPMC St. Margaret | Pittsburgh | $250.80 | $25.56 – $355.30 |
| UPMC East | Monroeville | $441.60 | $29.26 – $588.80 |
| UPMC Hamot | Erie | $501.00 | $29.26 – $584.50 |
| UPMC Carlisle | Carlisle | $149.40 | $29.30 – $211.65 |
| UPMC Altoona | Altoona | $271.80 | $29.26 – $362.40 |