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Angioplasty tib/pero/unilat/ea add 37232 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$16,829.40
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.
$28,049.00
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.
$1,795.89 with UPMC Work Partners vs $23,841.65 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 Work Partners | Workers Comp | $1,795.89 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,208.47 | ↓ -87% |
| UPMC Health Plan | Commercial | $3,886.47 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,917.13 | ↓ -71% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6,392.03 | ↓ -62% |
| Highmark BCBS of PA | Managed Care | $6,585.40 | ↓ -61% |
| Aetna | Medicare | $7,012.25 | ↓ -58% |
| Aetna | Neighborhood Network | $7,068.35 | ↓ -58% |
| Aetna | Home Depot Employer Group | $7,685.43 | ↓ -54% |
| Aetna | NBR ASO/FI | $7,853.72 | ↓ -53% |
| Cigna | New Business ASO | $7,853.72 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity | $8,560.73 | ↓ -49% |
| Aetna | EBR FI | $10,658.62 | ↓ -37% |
| Aetna | EBR ASO | $11,219.60 | ↓ -33% |
| Cigna | Commercial | $11,219.60 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $13,170.80 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicare | $14,024.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $15,426.95 | ↓ -8% |
| Coventry/First Health | Commercial | $19,634.30 | ↑ +17% |
| Private Health Care Systems | PPO | $22,439.20 | ↑ +33% |
| SelectCare | Commercial | $22,439.20 | ↑ +33% |
| Humana | Commercial | $23,841.65 | ↑ +42% |
Visitor-reported prices
Comments
Angioplasty tib/pero/unilat/ea add 37232 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $41,503.80 | $1,795.89 – $58,797.05 |
| UPMC Mercy | Pittsburgh | $28,104.00 | $187.55 – $42,156.00 |
| UPMC Presbyterian | Pittsburgh | $19,576.20 | $187.55 – $27,732.95 |
| UPMC Northwest | Seneca | $27,920.40 | $1,795.89 – $39,553.90 |
| UPMC Somerset | Somerset | $8,640.60 | $196.07 – $10,800.75 |
| UPMC Williamsport | Williamsport | $4,394.40 | $218.24 – $5,859.20 |