healthcosts.net
Estradiol total at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$253.20
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.
?
What you pay up front if you don't use insurance.
$422.00
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.
$23.65 with UPMC Health Plan vs $358.70 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 | $23.65 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $23.65 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $24.12 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $27.61 | ↓ -89% |
| Aetna of PA | Medicare | $29.34 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $30.17 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $30.18 | ↓ -88% |
| Aetna | Medicare | $30.73 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.88 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $33.56 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $36.64 | ↓ -86% |
| UPMC Health Plan | Commercial | $45.72 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $54.53 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $94.79 | ↓ -63% |
| Aetna | Neighborhood Network | $106.34 | ↓ -58% |
| Aetna | Home Depot Employer Group | $115.63 | ↓ -54% |
| Aetna | NBR ASO/FI | $118.16 | ↓ -53% |
| Cigna | New Business ASO | $118.16 | ↓ -53% |
| Highmark BCBS of PA | Managed Care | $126.95 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $157.83 | ↓ -38% |
| Aetna | EBR FI | $160.36 | ↓ -37% |
| Aetna | EBR ASO | $168.80 | ↓ -33% |
| Cigna | Commercial | $168.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $211.38 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $253.91 | ↑ +0% |
| Coventry/First Health | Commercial | $295.40 | ↑ +17% |
| Private Health Care Systems | PPO | $337.60 | ↑ +33% |
| SelectCare | Commercial | $337.60 | ↑ +33% |
| Humana | Commercial | $358.70 | ↑ +42% |
Visitor-reported prices
Comments
Estradiol total at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $519.60 | $23.65 – $736.10 |
| UPMC Mercy | Pittsburgh | $459.00 | $23.29 – $688.50 |
| UPMC Presbyterian | Pittsburgh | $242.40 | $21.50 – $343.40 |
| UPMC Muncy | Muncy | $373.20 | $23.65 – $236.80 |
| UPMC Northwest | Seneca | $137.40 | $23.65 – $194.65 |
| UPMC Somerset | Somerset | $142.20 | $21.50 – $177.75 |
| UPMC Wellsboro | Wellsboro | $451.20 | $21.50 – $242.10 |
| UPMC Williamsport | Williamsport | $373.20 | $23.65 – $497.60 |