healthcosts.net
Cv line/pic reposition at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$1,127.40
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.
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What you pay up front if you don't use insurance.
$1,879.00
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.
$63.95 with UPMC Health Plan vs $1,629.12 with Aetna — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $63.95 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $63.95 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $86.22 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $90.76 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $99.08 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $246.97 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $299.09 | ↓ -73% |
| Aetna | Neighborhood Network | $473.51 | ↓ -58% |
| Aetna | Home Depot Employer Group | $514.85 | ↓ -54% |
| Aetna | NBR ASO/FI | $526.12 | ↓ -53% |
| Cigna | New Business ASO | $526.12 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $549.87 | ↓ -51% |
| UPMC Health Plan | Commercial | $677.38 | ↓ -40% |
| Aetna | EBR FI | $714.02 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $714.80 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $736.42 | ↓ -35% |
| Aetna | EBR ASO | $751.60 | ↓ -33% |
| Cigna | Commercial | $751.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $957.32 | ↓ -15% |
| UPMC Health Plan | Managed Medicare | $1,278.71 | ↑ +13% |
| Coventry/First Health | Commercial | $1,315.30 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $1,472.85 | ↑ +31% |
| Private Health Care Systems | PPO | $1,503.20 | ↑ +33% |
| SelectCare | Commercial | $1,503.20 | ↑ +33% |
| Aetna of PA | Medicare | $1,555.07 | ↑ +38% |
| Humana | Commercial | $1,597.15 | ↑ +42% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,599.35 | ↑ +42% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,599.50 | ↑ +42% |
| Aetna | Medicare | $1,629.12 | ↑ +45% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Cv line/pic reposition at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,252.20 | $63.95 – $1,773.95 |
| UPMC Mercy | Pittsburgh | $1,099.80 | $63.95 – $1,649.70 |
| UPMC Presbyterian | Pittsburgh | $10,446.60 | $63.95 – $14,799.35 |
| UPMC Northwest | Seneca | $1,591.20 | $63.95 – $2,254.20 |
| UPMC Somerset | Somerset | $2,472.00 | $63.95 – $3,090.00 |
| UPMC Williamsport | Williamsport | $2,403.00 | $63.95 – $3,204.00 |