healthcosts.net
Dilator fascial 10fx20cm at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$1,055.40
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.
$1,759.00
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.
$35.25 with Aetna vs $811.49 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 |
|---|---|---|---|
| Aetna | Medicare | $35.25 | ↓ -97% |
| Aetna | Neighborhood Network | $35.53 | ↓ -97% |
| Aetna | Home Depot Employer Group | $38.63 | ↓ -96% |
| Aetna | NBR ASO/FI | $39.48 | ↓ -96% |
| Cigna | New Business ASO | $39.48 | ↓ -96% |
| Aetna | EBR FI | $53.58 | ↓ -95% |
| Aetna | EBR ASO | $56.40 | ↓ -95% |
| Cigna | Commercial | $56.40 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $70.50 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $77.55 | ↓ -93% |
| Coventry/First Health | Commercial | $98.70 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $105.22 | ↓ -90% |
| Private Health Care Systems | PPO | $112.80 | ↓ -89% |
| SelectCare | Commercial | $112.80 | ↓ -89% |
| Humana | Commercial | $119.85 | ↓ -89% |
| Highmark BCBS of PA | Managed Care - Social Mission | $302.97 | ↓ -71% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $304.53 | ↓ -71% |
| Highmark BCBS of PA | Managed Care | $405.74 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Indemnity | $407.85 | ↓ -61% |
| UPMC Health Plan | Commercial | $486.72 | ↓ -54% |
| Highmark BCBS of PA | UPMC Emergent | $811.49 | ↓ -23% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Dilator fascial 10fx20cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,469.40 | $87.50 – $315.00 |
| UPMC Passavant-McCandless | Pittsburgh | $1,472.40 | $29.75 – $575.59 |
| UPMC Presbyterian | Pittsburgh | $795.60 | $87.30 – $641.31 |
| UPMC Muncy | Muncy | $845.40 | $10.65 – $63.90 |
| UPMC Northwest | Seneca | $232.20 | $16.75 – $479.98 |
| UPMC Wellsboro | Wellsboro | $1,022.40 | $11.56 – $57.83 |
| UPMC Williamsport | Williamsport | $127.80 | $57.51 – $191.70 |