Cath w/drainage 2-way latex at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$240.00
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.
$400.00
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.
$2.75 with Aetna vs $164.78 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 | $2.75 | ↓ -99% |
| Aetna | Neighborhood Network | $2.77 | ↓ -99% |
| Aetna | Home Depot Employer Group | $3.01 | ↓ -99% |
| Cigna | New Business ASO | $3.08 | ↓ -99% |
| Aetna | NBR ASO/FI | $3.08 | ↓ -99% |
| Aetna | EBR FI | $4.18 | ↓ -98% |
| Aetna | EBR ASO | $4.40 | ↓ -98% |
| Cigna | Commercial | $4.40 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $5.50 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $6.05 | ↓ -97% |
| Highmark BCBS of PA | Managed Care | $6.16 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $6.16 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6.27 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity | $6.27 | ↓ -97% |
| Coventry/First Health | Commercial | $7.70 | ↓ -97% |
| Private Health Care Systems | PPO | $8.80 | ↓ -96% |
| SelectCare | Commercial | $8.80 | ↓ -96% |
| Humana | Commercial | $9.35 | ↓ -96% |
| Highmark BCBS of PA | UPMC Emergent | $12.32 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $39.59 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $55.99 | ↓ -77% |
| UPMC Health Plan | Commercial | $164.78 | ↓ -31% |
Visitor-reported prices
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Cath w/drainage 2-way latex at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $111.60 | $22.61 – $134.29 |
| UPMC Mercy | Pittsburgh | $159.00 | $39.22 – $106.04 |
| UPMC Passavant-McCandless | Pittsburgh | $587.40 | $39.59 – $194.87 |
| UPMC Altoona | Altoona | $70.80 | $5.50 – $134.29 |
| UPMC Bedford | Everett | $79.80 | $2.50 – $134.29 |
| UPMC East | Monroeville | $202.80 | $2.50 – $134.29 |
| UPMC Hamot | Erie | $177.00 | $39.22 – $55.99 |
| UPMC Northwest | Seneca | $39.60 | $55.99 – $162.50 |