healthcosts.net
Bln 1.2 mono emrg 15x1.2 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$6,582.60
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.
$10,971.00
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.
$102.00 with Aetna vs $2,650.26 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 |
|---|---|---|---|
| Aetna | Medicare | $102.00 | ↓ -98% |
| Aetna | Neighborhood Network | $102.82 | ↓ -98% |
| Aetna | Home Depot Employer Group | $111.79 | ↓ -98% |
| Aetna | NBR ASO/FI | $114.24 | ↓ -98% |
| Cigna | New Business ASO | $114.24 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $147.80 | ↓ -98% |
| Aetna | EBR FI | $155.04 | ↓ -98% |
| Aetna | EBR ASO | $163.20 | ↓ -98% |
| Cigna | Commercial | $163.20 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $204.00 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $224.40 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $250.00 | ↓ -96% |
| Coventry/First Health | Commercial | $285.60 | ↓ -96% |
| Private Health Care Systems | PPO | $326.40 | ↓ -95% |
| SelectCare | Commercial | $326.40 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $343.62 | ↓ -95% |
| Humana | Commercial | $346.80 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $989.49 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $994.56 | ↓ -85% |
| Highmark BCBS of PA | Managed Care | $1,325.13 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,332.00 | ↓ -80% |
| UPMC Health Plan | Commercial | $1,563.77 | ↓ -76% |
| Highmark BCBS of PA | UPMC Emergent | $2,650.26 | ↓ -60% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Bln 1.2 mono emrg 15x1.2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $8,967.60 | $41.75 – $1,006.31 |
| UPMC Passavant-McCandless | Pittsburgh | $9,111.60 | $51.75 – $1,849.30 |
| UPMC Presbyterian | Pittsburgh | $15,157.20 | $9.18 – $2,060.46 |
| UPMC Muncy | Muncy | $805.80 | $63.90 – $383.40 |
| UPMC Northwest | Seneca | $3,042.60 | $66.00 – $1,542.13 |
| UPMC Somerset | Somerset | $6,126.60 | $110.66 – $763.32 |
| UPMC Wellsboro | Wellsboro | $5,457.60 | $69.66 – $348.30 |
| UPMC Williamsport | Williamsport | $3,807.00 | $75.87 – $252.90 |