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Ecmo/ecls insj prph cannula 6yrs&older perq 33952 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$2,248.80
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.
$3,748.00
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.
$301.01 with Highmark BCBS of PA vs $3,185.80 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 | $301.01 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $533.42 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $670.19 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $871.22 | ↓ -61% |
| Highmark BCBS of PA | Managed Care | $897.57 | ↓ -60% |
| Aetna | Medicare | $937.00 | ↓ -58% |
| Aetna | Neighborhood Network | $944.50 | ↓ -58% |
| Aetna | Home Depot Employer Group | $1,026.95 | ↓ -54% |
| Aetna | NBR ASO/FI | $1,049.44 | ↓ -53% |
| Cigna | New Business ASO | $1,049.44 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,166.81 | ↓ -48% |
| Aetna | EBR FI | $1,424.24 | ↓ -37% |
| Aetna | EBR ASO | $1,499.20 | ↓ -33% |
| Cigna | Commercial | $1,499.20 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $1,795.15 | ↓ -20% |
| UPMC Health Plan | Commercial | $1,838.39 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,874.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $2,061.40 | ↓ -8% |
| Coventry/First Health | Commercial | $2,623.60 | ↑ +17% |
| Private Health Care Systems | PPO | $2,998.40 | ↑ +33% |
| SelectCare | Commercial | $2,998.40 | ↑ +33% |
| Humana | Commercial | $3,185.80 | ↑ +42% |
Visitor-reported prices
Comments
Ecmo/ecls insj prph cannula 6yrs&older perq 33952 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,630.80 | $301.01 – $2,310.30 |
| UPMC Mercy | Pittsburgh | $1,360.20 | $298.17 – $2,040.30 |
| UPMC Presbyterian | Pittsburgh | $1,515.00 | $301.01 – $2,146.25 |
| UPMC Northwest | Seneca | $1,958.40 | $533.42 – $2,774.40 |