healthcosts.net
Evaluation of speech fluency 92521 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$239.40
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.
$399.00
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.
$82.21 with Highmark BCBS of PA vs $382.40 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $82.21 | ↓ -66% |
| Aetna | Medicare | $99.75 | ↓ -58% |
| Aetna | Neighborhood Network | $100.55 | ↓ -58% |
| Aetna | Home Depot Employer Group | $109.33 | ↓ -54% |
| Aetna | NBR ASO/FI | $111.72 | ↓ -53% |
| Cigna | New Business ASO | $111.72 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $142.76 | ↓ -40% |
| Aetna | EBR FI | $151.62 | ↓ -37% |
| UPMC Work Partners | Workers Comp | $155.06 | ↓ -35% |
| Aetna | EBR ASO | $159.60 | ↓ -33% |
| Cigna | Commercial | $159.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $191.20 | ↓ -20% |
| UPMC Health Plan | Commercial | $195.71 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $199.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $219.45 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $237.94 | ↓ -1% |
| Coventry/First Health | Commercial | $279.30 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $318.67 | ↑ +33% |
| Private Health Care Systems | PPO | $319.20 | ↑ +33% |
| SelectCare | Commercial | $319.20 | ↑ +33% |
| Humana | Commercial | $339.15 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $382.40 | ↑ +60% |
Visitor-reported prices
Comments
Evaluation of speech fluency 92521 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $228.60 | $81.43 – $342.90 |
| UPMC Passavant-McCandless | Pittsburgh | $405.00 | $82.21 – $573.75 |
| UPMC Presbyterian | Pittsburgh | $393.00 | $82.21 – $556.75 |
| UPMC Northwest | Seneca | $404.40 | $155.06 – $572.90 |
| UPMC Somerset | Somerset | $508.20 | $80.61 – $635.25 |
| UPMC Wellsboro | Wellsboro | $552.80 | $113.04 – $621.90 |
| UPMC Williamsport | Williamsport | $457.20 | $113.04 – $609.60 |