healthcosts.net
Brace afo lg left 6607 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$618.60
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.
$1,031.00
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.
$206.20 with Highmark Wholecare (prev Gateway) vs $2,230.98 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $206.20 | ↓ -67% |
| Aetna | Medicare | $257.75 | ↓ -58% |
| Aetna | Neighborhood Network | $259.81 | ↓ -58% |
| Aetna | Home Depot Employer Group | $282.49 | ↓ -54% |
| Aetna | NBR ASO/FI | $288.68 | ↓ -53% |
| Cigna | New Business ASO | $288.68 | ↓ -53% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $289.26 | ↓ -53% |
| Aetna | EBR FI | $391.78 | ↓ -37% |
| UPMC Work Partners | Workers Comp | $409.04 | ↓ -34% |
| Aetna | EBR ASO | $412.40 | ↓ -33% |
| Cigna | Commercial | $412.40 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $515.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $567.05 | ↓ -8% |
| Coventry/First Health | Commercial | $721.70 | ↑ +17% |
| Private Health Care Systems | PPO | $824.80 | ↑ +33% |
| SelectCare | Commercial | $824.80 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $832.95 | ↑ +35% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $837.22 | ↑ +35% |
| Humana | Commercial | $876.35 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $1,115.49 | ↑ +80% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,121.27 | ↑ +81% |
| UPMC Health Plan | Commercial | $1,309.38 | ↑ +112% |
| Highmark BCBS of PA | UPMC Emergent | $2,230.98 | ↑ +261% |
Visitor-reported prices
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Brace afo lg left 6607 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,288.20 | $185.52 – $842.61 |
| UPMC Passavant-McCandless | Pittsburgh | $609.00 | $214.00 – $1,548.47 |
| UPMC Presbyterian | Pittsburgh | $796.20 | $125.64 – $1,725.28 |