healthcosts.net
Apheresis plasma at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$3,292.80
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.
?
What you pay up front if you don't use insurance.
$5,488.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$82.50 with UPMC Health Plan vs $7,357.86 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $82.50 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $82.50 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $111.22 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $117.08 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $127.81 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $172.58 | ↓ -95% |
| UPMC Health Plan | Commercial | $900.99 | ↓ -73% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,233.76 | ↓ -63% |
| UPMC Health Plan | Managed Medicare | $1,349.37 | ↓ -59% |
| Aetna | Neighborhood Network | $1,382.98 | ↓ -58% |
| Aetna | Home Depot Employer Group | $1,503.71 | ↓ -54% |
| Aetna | NBR ASO/FI | $1,536.64 | ↓ -53% |
| Cigna | New Business ASO | $1,536.64 | ↓ -53% |
| Aetna of PA | Medicare | $1,641.00 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,687.73 | ↓ -49% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,687.89 | ↓ -49% |
| Aetna | Medicare | $1,719.15 | ↓ -48% |
| Aetna | EBR FI | $2,085.44 | ↓ -37% |
| Aetna | EBR ASO | $2,195.20 | ↓ -33% |
| Cigna | Commercial | $2,195.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,746.95 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,570.91 | ↑ +8% |
| Highmark BCBS of PA | Managed Care | $3,678.93 | ↑ +12% |
| Coventry/First Health | Commercial | $3,841.60 | ↑ +17% |
| Private Health Care Systems | PPO | $4,390.40 | ↑ +33% |
| SelectCare | Commercial | $4,390.40 | ↑ +33% |
| Humana | Commercial | $4,664.80 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,782.44 | ↑ +45% |
| Highmark BCBS of PA | UPMC Emergent | $7,357.86 | ↑ +123% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Apheresis plasma at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,486.60 | $82.50 – $4,939.35 |
| UPMC Mercy | Pittsburgh | $4,792.80 | $82.50 – $7,189.20 |
| UPMC Presbyterian | Pittsburgh | $28,527.60 | $82.50 – $12,992.25 |
| UPMC Somerset | Somerset | $5,519.40 | $82.50 – $6,899.25 |
| UPMC Wellsboro | Wellsboro | $1,532.00 | $82.50 – $1,723.50 |