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Expander breast 300cc mod hght extra proj smth natrelle at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$2,395.80
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.
$3,993.00
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.
$117.00 with Highmark Wholecare (prev Gateway) vs $6,725.51 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 Wholecare (prev Gateway) | Medicaid | $117.00 | ↓ -95% |
| Aetna | Medicare | $146.25 | ↓ -94% |
| Aetna | Neighborhood Network | $147.42 | ↓ -94% |
| Aetna | Home Depot Employer Group | $160.29 | ↓ -93% |
| Aetna | NBR ASO/FI | $163.80 | ↓ -93% |
| Cigna | New Business ASO | $163.80 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $193.05 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $197.91 | ↓ -92% |
| Aetna | EBR FI | $222.30 | ↓ -91% |
| Aetna | EBR ASO | $234.00 | ↓ -90% |
| Cigna | Commercial | $234.00 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $292.50 | ↓ -88% |
| Coventry/First Health | Commercial | $409.50 | ↓ -83% |
| Private Health Care Systems | PPO | $468.00 | ↓ -80% |
| SelectCare | Commercial | $468.00 | ↓ -80% |
| Humana | Commercial | $497.25 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $872.01 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,511.01 | ↑ +5% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,523.88 | ↑ +5% |
| Highmark BCBS of PA | Managed Care | $3,362.76 | ↑ +40% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,380.18 | ↑ +41% |
| UPMC Health Plan | Commercial | $4,251.46 | ↑ +77% |
| Highmark BCBS of PA | UPMC Emergent | $6,725.51 | ↑ +181% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Expander breast 300cc mod hght extra proj smth natrelle at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,469.60 | $140.40 – $2,735.89 |
| UPMC Passavant-McCandless | Pittsburgh | $2,941.80 | $136.40 – $5,027.74 |
| UPMC Presbyterian | Pittsburgh | $4,151.40 | $96.72 – $5,601.83 |
| UPMC Muncy | Muncy | $2,967.60 | $82.80 – $496.80 |
| UPMC Wellsboro | Wellsboro | $3,588.80 | $651.42 – $3,257.10 |
| UPMC Williamsport | Williamsport | $2,967.60 | $116.00 – $522.00 |