healthcosts.net
Bln dil 900ml preperitnl at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$2,017.80
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.
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What you pay up front if you don't use insurance.
$3,363.00
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.
$176.00 with Aetna vs $2,450.07 with UPMC Health Plan — 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 | $176.00 | ↓ -91% |
| Aetna | Neighborhood Network | $177.41 | ↓ -91% |
| Aetna | Home Depot Employer Group | $192.90 | ↓ -90% |
| Aetna | NBR ASO/FI | $197.12 | ↓ -90% |
| Cigna | New Business ASO | $197.12 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $237.34 | ↓ -88% |
| Aetna | EBR FI | $267.52 | ↓ -87% |
| Aetna | EBR ASO | $281.60 | ↓ -86% |
| Cigna | Commercial | $281.60 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $352.00 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $387.20 | ↓ -81% |
| Coventry/First Health | Commercial | $492.80 | ↓ -76% |
| Private Health Care Systems | PPO | $563.20 | ↓ -72% |
| SelectCare | Commercial | $563.20 | ↓ -72% |
| Humana | Commercial | $598.40 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $683.43 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $686.94 | ↓ -66% |
| Highmark BCBS of PA | Managed Care | $915.26 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Indemnity | $920.00 | ↓ -54% |
| Highmark BCBS of PA | UPMC Emergent | $1,830.52 | ↓ -9% |
| UPMC Health Plan | Commercial | $2,450.07 | ↑ +21% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Bln dil 900ml preperitnl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,779.80 | $235.10 – $1,576.66 |
| UPMC Passavant-McCandless | Pittsburgh | $2,610.00 | $110.25 – $2,897.43 |
| UPMC Presbyterian | Pittsburgh | $6,502.20 | $59.04 – $3,228.28 |
| UPMC Muncy | Muncy | $375.60 | $93.90 – $563.40 |
| UPMC Northwest | Seneca | $2,067.60 | $407.00 – $2,416.16 |
| UPMC Wellsboro | Wellsboro | $2,731.20 | $102.24 – $511.20 |
| UPMC Williamsport | Williamsport | $646.20 | $290.79 – $969.30 |