C-peptide at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$156.60
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.
?
What you pay up front if you don't use insurance.
$261.00
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.
$17.97 with UPMC Health Plan vs $221.85 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 Medicare | $17.97 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $20.57 | ↓ -87% |
| Aetna of PA | Medicare | $21.85 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $22.47 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $22.47 | ↓ -86% |
| Aetna | Medicare | $22.89 | ↓ -85% |
| UPMC Health Plan | Commercial | $30.07 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $31.62 | ↓ -80% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $31.62 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $40.59 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $42.64 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $44.88 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $49.00 | ↓ -69% |
| Aetna | Neighborhood Network | $65.77 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $70.56 | ↓ -55% |
| Aetna | Home Depot Employer Group | $71.51 | ↓ -54% |
| Cigna | New Business ASO | $73.08 | ↓ -53% |
| Aetna | NBR ASO/FI | $73.08 | ↓ -53% |
| Highmark BCBS of PA | Managed Care | $94.49 | ↓ -40% |
| Aetna | EBR FI | $99.18 | ↓ -37% |
| Cigna | Commercial | $104.40 | ↓ -33% |
| Aetna | EBR ASO | $104.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $117.48 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Indemnity | $157.33 | ↑ +0% |
| Coventry/First Health | Commercial | $182.70 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $188.99 | ↑ +21% |
| SelectCare | Commercial | $208.80 | ↑ +33% |
| Private Health Care Systems | PPO | $208.80 | ↑ +33% |
| Humana | Commercial | $221.85 | ↑ +42% |
Visitor-reported prices
Comments
C-peptide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $125.40 | $19.48 – $49.00 |
| UPMC Mercy | Pittsburgh | $315.00 | $17.35 – $40.21 |
| UPMC Passavant-McCandless | Pittsburgh | $249.60 | $19.34 – $40.59 |
| UPMC Presbyterian | Pittsburgh | $451.80 | $20.57 – $44.76 |
| UPMC Altoona | Altoona | $197.40 | $20.57 – $263.20 |
| UPMC Bedford | Everett | $100.20 | $7.51 – $150.30 |
| UPMC Carlisle | Carlisle | $105.00 | $16.87 – $148.75 |
| UPMC Cole | Coudersport | $142.20 | $13.53 – $189.60 |