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Expander tiss 133s-mv-12-t 300ml natrelle smth at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$2,680.20
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.
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What you pay up front if you don't use insurance.
$4,467.00
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.
$170.60 with Highmark Wholecare (prev Gateway) vs $4,497.42 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 | $170.60 | ↓ -94% |
| Aetna | Medicare | $213.25 | ↓ -92% |
| Aetna | Neighborhood Network | $214.96 | ↓ -92% |
| Aetna | Home Depot Employer Group | $233.72 | ↓ -91% |
| Aetna | NBR ASO/FI | $238.84 | ↓ -91% |
| Cigna | New Business ASO | $238.84 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $281.49 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $288.57 | ↓ -89% |
| Aetna | EBR FI | $324.14 | ↓ -88% |
| Aetna | EBR ASO | $341.20 | ↓ -87% |
| Cigna | Commercial | $341.20 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $426.50 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $583.12 | ↓ -78% |
| Coventry/First Health | Commercial | $597.10 | ↓ -78% |
| Private Health Care Systems | PPO | $682.40 | ↓ -75% |
| SelectCare | Commercial | $682.40 | ↓ -75% |
| Humana | Commercial | $725.05 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,679.14 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,687.75 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $2,248.71 | ↓ -16% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,260.36 | ↓ -16% |
| UPMC Health Plan | Commercial | $4,317.15 | ↑ +61% |
| Highmark BCBS of PA | UPMC Emergent | $4,497.42 | ↑ +68% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Expander tiss 133s-mv-12-t 300ml natrelle smth at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,730.60 | $162.00 – $2,778.17 |
| UPMC Passavant-McCandless | Pittsburgh | $5,235.60 | $160.82 – $5,105.43 |
| UPMC Presbyterian | Pittsburgh | $10,690.80 | $9.84 – $5,688.39 |
| UPMC Muncy | Muncy | $3,449.40 | $113.40 – $680.40 |
| UPMC Northwest | Seneca | $3,237.00 | $692.50 – $4,257.40 |
| UPMC Wellsboro | Wellsboro | $4,135.20 | $723.42 – $3,617.10 |
| UPMC Williamsport | Williamsport | $2,872.20 | $156.20 – $702.90 |