Drainage absc/cyst/hmtma/vestibule mouth smpl at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$846.60
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.
$1,411.00
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.
$29.15 with UPMC Health Plan vs $1,199.35 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $29.15 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $29.15 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $39.30 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $41.37 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $45.16 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $131.35 | ↓ -84% |
| UPMC Health Plan | Commercial | $180.23 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $185.74 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $292.46 | ↓ -65% |
| Aetna | Neighborhood Network | $355.57 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $380.18 | ↓ -55% |
| Aetna | Home Depot Employer Group | $386.61 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $391.69 | ↓ -54% |
| Cigna | New Business ASO | $395.08 | ↓ -53% |
| Aetna | NBR ASO/FI | $395.08 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity | $509.17 | ↓ -40% |
| Aetna | EBR FI | $536.18 | ↓ -37% |
| Aetna | EBR ASO | $564.40 | ↓ -33% |
| Cigna | Commercial | $564.40 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $579.16 | ↓ -32% |
| Aetna of PA | Medicare | $704.33 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $724.39 | ↓ -14% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $724.45 | ↓ -14% |
| Aetna | Medicare | $737.87 | ↓ -13% |
| Highmark BCBS of PA | UPMC Emergent | $783.37 | ↓ -7% |
| Coventry/First Health | Commercial | $987.70 | ↑ +17% |
| SelectCare | Commercial | $1,128.80 | ↑ +33% |
| Private Health Care Systems | PPO | $1,128.80 | ↑ +33% |
| Humana | Commercial | $1,199.35 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Drainage absc/cyst/hmtma/vestibule mouth smpl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $535.80 | $29.15 – $724.45 |
| UPMC Mercy | Pittsburgh | $942.60 | $29.15 – $737.87 |
| UPMC Passavant-McCandless | Pittsburgh | $647.40 | $29.15 – $737.87 |
| UPMC Presbyterian | Pittsburgh | $630.00 | $29.15 – $931.20 |
| UPMC Altoona | Altoona | $595.20 | $26.50 – $793.60 |
| UPMC Bedford | Everett | $897.00 | $27.82 – $1,345.50 |
| UPMC Carlisle | Carlisle | $924.60 | $33.66 – $1,309.85 |
| UPMC Community Osteopathic | Harrisburg | $924.60 | $33.66 – $1,016.56 |