healthcosts.net
Filter spider fx 3mmx320cm at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$5,341.80
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.
$8,903.00
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.
$721.00 with Aetna vs $13,241.89 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 |
|---|---|---|---|
| Aetna | Medicare | $721.00 | ↓ -87% |
| Aetna | Neighborhood Network | $726.77 | ↓ -86% |
| Aetna | Home Depot Employer Group | $790.22 | ↓ -85% |
| Aetna | NBR ASO/FI | $807.52 | ↓ -85% |
| Cigna | New Business ASO | $807.52 | ↓ -85% |
| Aetna | EBR FI | $1,095.92 | ↓ -79% |
| Aetna | EBR ASO | $1,153.60 | ↓ -78% |
| Cigna | Commercial | $1,153.60 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,195.40 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,442.00 | ↓ -73% |
| PA Health & Wellness | PA Medicaid HMO | $1,586.20 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,716.90 | ↓ -68% |
| Coventry/First Health | Commercial | $2,018.80 | ↓ -62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,022.02 | ↓ -62% |
| UPMC Health Plan | Commercial | $2,132.81 | ↓ -60% |
| Private Health Care Systems | PPO | $2,307.20 | ↓ -57% |
| SelectCare | Commercial | $2,307.20 | ↓ -57% |
| Humana | Commercial | $2,451.40 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,943.93 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,969.28 | ↓ -7% |
| Highmark BCBS of PA | Managed Care | $6,620.94 | ↑ +24% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,655.25 | ↑ +25% |
| Highmark BCBS of PA | UPMC Emergent | $13,241.89 | ↑ +148% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Filter spider fx 3mmx320cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $40,462.20 | $91.00 – $1,700.71 |
| UPMC Passavant-McCandless | Pittsburgh | $9,370.80 | $53.75 – $2,522.24 |
| UPMC Presbyterian | Pittsburgh | $53,950.20 | $76.68 – $3,787.61 |
| UPMC Northwest | Seneca | $3,649.20 | $438.50 – $4,413.99 |
| UPMC Somerset | Somerset | $6,785.40 | $1,041.08 – $8,481.75 |
| UPMC Williamsport | Williamsport | $5,677.80 | $1,892.60 – $8,516.70 |