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Angioplasty fem/pop unilat 37224 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$28,228.20
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.
$47,047.00
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.
$4,693.20 with UPMC Health Plan vs $41,093.91 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 Health Plan | Managed Medicare | $4,693.20 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $5,603.34 | ↓ -80% |
| Aetna of PA | Medicare | $5,707.51 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,870.03 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,870.58 | ↓ -79% |
| Aetna | Medicare | $5,979.29 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6,890.60 | ↓ -76% |
| UPMC Health Plan | Commercial | $7,035.97 | ↓ -75% |
| Aetna | Neighborhood Network | $11,855.84 | ↓ -58% |
| Aetna | Home Depot Employer Group | $12,890.88 | ↓ -54% |
| Aetna | NBR ASO/FI | $13,173.16 | ↓ -53% |
| Cigna | New Business ASO | $13,173.16 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $15,341.82 | ↓ -46% |
| Aetna | EBR FI | $17,877.86 | ↓ -37% |
| Aetna | EBR ASO | $18,818.80 | ↓ -33% |
| Cigna | Commercial | $18,818.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $19,943.64 | ↓ -29% |
| Highmark BCBS of PA | Managed Care | $20,546.96 | ↓ -27% |
| PA Health & Wellness | PA Medicaid HMO | $25,875.85 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $26,710.12 | ↓ -5% |
| Coventry/First Health | Commercial | $32,932.90 | ↑ +17% |
| Private Health Care Systems | PPO | $37,637.60 | ↑ +33% |
| SelectCare | Commercial | $37,637.60 | ↑ +33% |
| Humana | Commercial | $39,989.95 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $41,093.91 | ↑ +46% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Angioplasty fem/pop unilat 37224 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $30,797.40 | $5,051.41 – $43,629.65 |
| UPMC Mercy | Pittsburgh | $21,886.80 | $424.06 – $32,830.20 |
| UPMC Presbyterian | Pittsburgh | $28,468.80 | $424.06 – $40,330.80 |
| UPMC Northwest | Seneca | $21,742.80 | $4,929.65 – $30,802.30 |
| UPMC Somerset | Somerset | $17,281.80 | $892.40 – $21,602.25 |
| UPMC Williamsport | Williamsport | $4,394.40 | $993.28 – $5,994.27 |