healthcosts.net
Debride nail6 or more 11721 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$369.60
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.
?
What you pay up front if you don't use insurance.
$616.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$22.00 with UPMC Health Plan vs $523.60 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $22.00 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $22.00 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.66 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.22 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $34.08 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $48.89 | ↓ -87% |
| Aetna of PA | Medicare | $59.46 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.15 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.16 | ↓ -83% |
| Aetna | Medicare | $62.29 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $71.08 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $102.65 | ↓ -72% |
| Aetna | Neighborhood Network | $155.23 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $158.26 | ↓ -57% |
| UPMC Health Plan | Commercial | $158.79 | ↓ -57% |
| Aetna | Home Depot Employer Group | $168.78 | ↓ -54% |
| Aetna | NBR ASO/FI | $172.48 | ↓ -53% |
| Cigna | New Business ASO | $172.48 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $205.73 | ↓ -44% |
| Highmark BCBS of PA | Managed Care | $211.96 | ↓ -43% |
| Aetna | EBR FI | $234.08 | ↓ -37% |
| Aetna | EBR ASO | $246.40 | ↓ -33% |
| Cigna | Commercial | $246.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $275.54 | ↓ -25% |
| Highmark BCBS of PA | UPMC Emergent | $423.92 | ↑ +15% |
| Coventry/First Health | Commercial | $431.20 | ↑ +17% |
| Private Health Care Systems | PPO | $492.80 | ↑ +33% |
| SelectCare | Commercial | $492.80 | ↑ +33% |
| Humana | Commercial | $523.60 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Debride nail6 or more 11721 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $374.40 | $22.00 – $530.40 |
| UPMC Mercy | Pittsburgh | $200.40 | $22.00 – $300.60 |
| UPMC Presbyterian | Pittsburgh | $306.60 | $22.00 – $434.35 |
| UPMC Muncy | Muncy | $202.20 | $22.00 – $269.60 |
| UPMC Northwest | Seneca | $413.40 | $22.00 – $585.65 |
| UPMC Wellsboro | Wellsboro | $206.40 | $5.89 – $99.88 |
| UPMC Williamsport | Williamsport | $202.20 | $22.00 – $269.60 |