healthcosts.net
Cylinder pump set 20cm titan zero angl at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$24,717.60
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.
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What you pay up front if you don't use insurance.
$41,196.00
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.
$598.40 with Highmark Wholecare (prev Gateway) vs $28,490.58 with Highmark BCBS of PA — 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 Wholecare (prev Gateway) | Medicaid | $598.40 | ↓ -98% |
| Aetna | Medicare | $748.00 | ↓ -97% |
| Aetna | Neighborhood Network | $753.98 | ↓ -97% |
| Aetna | Home Depot Employer Group | $819.81 | ↓ -97% |
| Aetna | NBR ASO/FI | $837.76 | ↓ -97% |
| Cigna | New Business ASO | $837.76 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $987.36 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,012.19 | ↓ -96% |
| Aetna | EBR FI | $1,136.96 | ↓ -95% |
| Aetna | EBR ASO | $1,196.80 | ↓ -95% |
| Cigna | Commercial | $1,196.80 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,496.00 | ↓ -94% |
| Coventry/First Health | Commercial | $2,094.40 | ↓ -92% |
| Private Health Care Systems | PPO | $2,393.60 | ↓ -90% |
| SelectCare | Commercial | $2,393.60 | ↓ -90% |
| Humana | Commercial | $2,543.20 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3,694.00 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10,637.11 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10,691.64 | ↓ -57% |
| Highmark BCBS of PA | Managed Care | $14,245.29 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $14,319.11 | ↓ -42% |
| UPMC Health Plan | Commercial | $20,394.84 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $28,490.58 | ↑ +15% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cylinder pump set 20cm titan zero angl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $27,160.20 | $429.84 – $13,124.45 |
| UPMC Passavant-McCandless | Pittsburgh | $25,255.20 | $1,591.26 – $24,118.78 |
| UPMC Presbyterian | Pittsburgh | $34,293.60 | $33.84 – $26,872.78 |
| UPMC Northwest | Seneca | $3,862.80 | $447.75 – $20,112.58 |