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Abdominal Ultrasound (limited) at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$1,070.40
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.
$1,784.00
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.
$68.75 with UPMC Health Plan vs $1,516.40 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $68.75 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $68.75 | ↓ -94% |
| UPMC Health Plan | Commercial | $83.25 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $87.53 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $92.69 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $97.57 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $98.46 | ↓ -91% |
| Aetna of PA | Medicare | $106.45 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $106.51 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.49 | ↓ -90% |
| Aetna | Medicare | $111.52 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $219.22 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $219.23 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $284.98 | ↓ -73% |
| Highmark BCBS of PA | Managed Care | $293.60 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity | $381.66 | ↓ -64% |
| Aetna | Neighborhood Network | $449.57 | ↓ -58% |
| Aetna | Home Depot Employer Group | $488.82 | ↓ -54% |
| Aetna | NBR ASO/FI | $499.52 | ↓ -53% |
| Cigna | New Business ASO | $499.52 | ↓ -53% |
| Highmark BCBS of PA | UPMC Emergent | $587.19 | ↓ -45% |
| Aetna | EBR FI | $677.92 | ↓ -37% |
| Aetna | EBR ASO | $713.60 | ↓ -33% |
| Cigna | Commercial | $713.60 | ↓ -33% |
| Coventry/First Health | Commercial | $1,248.80 | ↑ +17% |
| Private Health Care Systems | PPO | $1,427.20 | ↑ +33% |
| SelectCare | Commercial | $1,427.20 | ↑ +33% |
| Humana | Commercial | $1,516.40 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal Ultrasound (limited) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,039.80 | $68.75 – $1,473.05 |
| UPMC Magee | Pittsburgh | $1,407.00 | $68.75 – $2,035.04 |
| UPMC Mercy | Pittsburgh | $867.00 | $68.75 – $1,300.50 |
| UPMC Presbyterian | Pittsburgh | $1,348.80 | $45.00 – $1,910.80 |
| UPMC East | Monroeville | $897.00 | $68.75 – $1,196.00 |
| UPMC Hamot | Erie | $475.80 | $68.13 – $555.10 |
| UPMC Kane | Kane | $301.80 | $23.45 – $198.49 |
| UPMC Carlisle | Carlisle | $394.20 | $30.69 – $207.72 |