healthcosts.net
Brace oths wrist hnd fngr without at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$194.40
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.
$324.00
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.
$64.80 with Highmark Wholecare (prev Gateway) vs $2,443.88 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $64.80 | ↓ -67% |
| Aetna | Medicare | $81.00 | ↓ -58% |
| Aetna | Neighborhood Network | $81.65 | ↓ -58% |
| Aetna | Home Depot Employer Group | $88.78 | ↓ -54% |
| Aetna | NBR ASO/FI | $90.72 | ↓ -53% |
| Cigna | New Business ASO | $90.72 | ↓ -53% |
| Aetna | EBR FI | $123.12 | ↓ -37% |
| Aetna | EBR ASO | $129.60 | ↓ -33% |
| Cigna | Commercial | $129.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $162.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $178.20 | ↓ -8% |
| Coventry/First Health | Commercial | $226.80 | ↑ +17% |
| Private Health Care Systems | PPO | $259.20 | ↑ +33% |
| SelectCare | Commercial | $259.20 | ↑ +33% |
| Humana | Commercial | $275.40 | ↑ +42% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $316.87 | ↑ +63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $912.44 | ↑ +369% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $917.11 | ↑ +372% |
| Highmark BCBS of PA | Managed Care | $1,221.94 | ↑ +529% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,228.27 | ↑ +532% |
| UPMC Health Plan | Commercial | $1,314.81 | ↑ +576% |
| Highmark BCBS of PA | UPMC Emergent | $2,443.88 | ↑ +1157% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Brace oths wrist hnd fngr without at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $516.00 | $75.60 – $846.11 |
| UPMC Passavant-McCandless | Pittsburgh | $201.00 | $73.70 – $1,554.89 |
| UPMC Presbyterian | Pittsburgh | $197.40 | $4.56 – $1,732.43 |
| UPMC Muncy | Muncy | $360.60 | $42.60 – $255.60 |
| UPMC Northwest | Seneca | $642.00 | $267.50 – $1,296.62 |
| UPMC Wellsboro | Wellsboro | $436.00 | $46.26 – $231.30 |
| UPMC Williamsport | Williamsport | $170.40 | $56.80 – $255.60 |