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Dornase alfa non-comp unit at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$231.20
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.
$289.00
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.
$11.35 with Highmark BCBS of PA vs $245.65 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 | $11.35 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $32.69 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $32.86 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $34.83 | ↓ -85% |
| Highmark BCBS of PA | Managed Care | $43.78 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Indemnity | $44.01 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.16 | ↓ -76% |
| PA Health & Wellness | PA Medicaid HMO | $55.16 | ↓ -76% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $56.72 | ↓ -75% |
| UPMC Health Plan | Commercial | $67.85 | ↓ -71% |
| Aetna | Medicare | $72.25 | ↓ -69% |
| Aetna | Neighborhood Network | $72.83 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $74.65 | ↓ -68% |
| Aetna | Home Depot Employer Group | $79.19 | ↓ -66% |
| Aetna | NBR ASO/FI | $80.92 | ↓ -65% |
| Cigna | New Business ASO | $80.92 | ↓ -65% |
| Highmark BCBS of PA | UPMC Emergent | $87.56 | ↓ -62% |
| Aetna | EBR FI | $109.82 | ↓ -53% |
| Aetna | EBR ASO | $115.60 | ↓ -50% |
| Cigna | Commercial | $115.60 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $144.50 | ↓ -38% |
| Coventry/First Health | Commercial | $202.30 | ↓ -13% |
| Private Health Care Systems | PPO | $231.20 | ↑ +0% |
| SelectCare | Commercial | $231.20 | ↑ +0% |
| Humana | Commercial | $245.65 | ↑ +6% |
Visitor-reported prices
Comments
Dornase alfa non-comp unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $380.80 | $11.25 – $428.40 |
| UPMC Passavant-McCandless | Pittsburgh | $571.80 | $11.35 – $102.00 |
| UPMC Presbyterian | Pittsburgh | $571.80 | $11.35 – $810.05 |
| UPMC Western Psychiatric | Pittsburgh | $571.80 | $11.12 – $810.05 |
| UPMC Muncy | Muncy | $236.00 | $44.25 – $265.50 |
| UPMC Northwest | Seneca | $104.80 | $29.19 – $111.35 |
| UPMC Somerset | Somerset | $30.60 | $11.13 – $60.43 |
| UPMC Wellsboro | Wellsboro | $236.00 | $51.57 – $265.50 |