healthcosts.net
Apply forearm splintdynamic 29126 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$237.00
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.
$395.00
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.
$28.60 with UPMC Health Plan vs $335.75 with Humana — 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 | $28.60 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $28.60 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $38.56 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $40.59 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $44.31 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $56.30 | ↓ -76% |
| UPMC Health Plan | Commercial | $83.01 | ↓ -65% |
| Aetna | Neighborhood Network | $99.54 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $104.48 | ↓ -56% |
| UPMC Health Plan | Managed Medicare | $106.10 | ↓ -55% |
| Aetna | Home Depot Employer Group | $108.23 | ↓ -54% |
| Aetna | NBR ASO/FI | $110.60 | ↓ -53% |
| Cigna | New Business ASO | $110.60 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $125.34 | ↓ -47% |
| Aetna of PA | Medicare | $129.03 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.71 | ↓ -44% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $132.72 | ↓ -44% |
| Aetna | Medicare | $135.18 | ↓ -43% |
| Aetna | EBR FI | $150.10 | ↓ -37% |
| Aetna | EBR ASO | $158.00 | ↓ -33% |
| Cigna | Commercial | $158.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $162.94 | ↓ -31% |
| Highmark BCBS of PA | Managed Care | $167.87 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Indemnity | $218.22 | ↓ -8% |
| Coventry/First Health | Commercial | $276.50 | ↑ +17% |
| Private Health Care Systems | PPO | $316.00 | ↑ +33% |
| SelectCare | Commercial | $316.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $335.73 | ↑ +42% |
| Humana | Commercial | $335.75 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Apply forearm splintdynamic 29126 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $516.00 | $28.60 – $731.00 |
| UPMC Mercy | Pittsburgh | $513.60 | $28.60 – $770.40 |
| UPMC Presbyterian | Pittsburgh | $388.80 | $28.60 – $550.80 |
| UPMC Muncy | Muncy | $471.00 | $28.60 – $628.00 |
| UPMC Northwest | Seneca | $366.60 | $28.60 – $519.35 |
| UPMC Somerset | Somerset | $239.40 | $28.60 – $299.25 |
| UPMC Wellsboro | Wellsboro | $569.60 | $28.60 – $640.80 |
| UPMC Williamsport | Williamsport | $471.00 | $28.60 – $628.00 |