Cath w/drainage 2-way silcne at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$75.00
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.
$125.00
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.
$11.00 with Aetna vs $177.08 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 | $11.00 | ↓ -85% |
| Aetna | Neighborhood Network | $11.09 | ↓ -85% |
| Aetna | Home Depot Employer Group | $12.06 | ↓ -84% |
| Cigna | New Business ASO | $12.32 | ↓ -84% |
| Aetna | NBR ASO/FI | $12.32 | ↓ -84% |
| Aetna | EBR FI | $16.72 | ↓ -78% |
| Aetna | EBR ASO | $17.60 | ↓ -77% |
| Cigna | Commercial | $17.60 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $22.00 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $24.20 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $24.64 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $24.64 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $25.08 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Indemnity | $25.08 | ↓ -67% |
| Coventry/First Health | Commercial | $30.80 | ↓ -59% |
| Private Health Care Systems | PPO | $35.20 | ↓ -53% |
| SelectCare | Commercial | $35.20 | ↓ -53% |
| Humana | Commercial | $37.40 | ↓ -50% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $42.54 | ↓ -43% |
| Highmark BCBS of PA | UPMC Emergent | $49.28 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $60.19 | ↓ -20% |
| UPMC Health Plan | Commercial | $177.08 | ↑ +136% |
Visitor-reported prices
Comments
Cath w/drainage 2-way silcne at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $58.20 | $42.14 – $113.95 |
| UPMC Presbyterian | Pittsburgh | $440.40 | $18.24 – $233.33 |
| UPMC Altoona | Altoona | $187.20 | $5.50 – $144.31 |
| UPMC Bedford | Everett | $104.40 | $7.75 – $144.31 |
| UPMC East | Monroeville | $60.00 | $7.00 – $144.31 |
| UPMC Hamot | Erie | $188.40 | $42.14 – $60.19 |
| UPMC Northwest | Seneca | $342.00 | $60.19 – $174.63 |
| UPMC Horizon-Greenville | Greenville | $362.40 | $60.19 – $144.31 |