healthcosts.net
Coveredge 32 lead kit 40cm 48 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$5,395.80
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.
$8,993.00
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.
$428.56 with Highmark BCBS of PA vs $7,644.05 with Humana — 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 BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $428.56 | ↓ -92% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,234.05 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,240.38 | ↓ -77% |
| Highmark BCBS of PA | Managed Care | $1,652.65 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,661.21 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,798.60 | ↓ -67% |
| Aetna | Medicare | $2,248.25 | ↓ -58% |
| Aetna | Neighborhood Network | $2,266.24 | ↓ -58% |
| Aetna | Home Depot Employer Group | $2,464.08 | ↓ -54% |
| Aetna | NBR ASO/FI | $2,518.04 | ↓ -53% |
| Cigna | New Business ASO | $2,518.04 | ↓ -53% |
| PA Health & Wellness | PA Medicaid HMO | $2,967.69 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,042.33 | ↓ -44% |
| Highmark BCBS of PA | UPMC Emergent | $3,305.30 | ↓ -39% |
| Aetna | EBR FI | $3,417.34 | ↓ -37% |
| Aetna | EBR ASO | $3,597.20 | ↓ -33% |
| Cigna | Commercial | $3,597.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $4,377.07 | ↓ -19% |
| Highmark Wholecare (prev Gateway) | Medicare | $4,496.50 | ↓ -17% |
| Coventry/First Health | Commercial | $6,295.10 | ↑ +17% |
| Private Health Care Systems | PPO | $7,194.40 | ↑ +33% |
| SelectCare | Commercial | $7,194.40 | ↑ +33% |
| Humana | Commercial | $7,644.05 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Coveredge 32 lead kit 40cm 48 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $6,339.60 | $424.51 – $2,816.73 |
| UPMC Passavant-McCandless | Pittsburgh | $8,619.00 | $428.56 – $5,176.29 |
| UPMC Presbyterian | Pittsburgh | $10,227.60 | $25.68 – $5,767.34 |
| UPMC Muncy | Muncy | $3,029.40 | $689.10 – $4,134.60 |
| UPMC Northwest | Seneca | $3,053.40 | $35.75 – $4,316.49 |
| UPMC Somerset | Somerset | $4,535.40 | $420.22 – $5,669.25 |
| UPMC Wellsboro | Wellsboro | $3,664.00 | $824.40 – $4,122.00 |
| UPMC Williamsport | Williamsport | $7,683.00 | $27.80 – $125.10 |