Foam drg >16<=48 sq in w/bdr at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$19.80
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.
$33.00
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.
$4.25 with Aetna vs $109.99 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 | $4.25 | ↓ -79% |
| Aetna | Neighborhood Network | $4.28 | ↓ -78% |
| Aetna | Home Depot Employer Group | $4.66 | ↓ -76% |
| Cigna | New Business ASO | $4.76 | ↓ -76% |
| Aetna | NBR ASO/FI | $4.76 | ↓ -76% |
| Aetna | EBR FI | $6.46 | ↓ -67% |
| Cigna | Commercial | $6.80 | ↓ -66% |
| Aetna | EBR ASO | $6.80 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.50 | ↓ -57% |
| PA Health & Wellness | PA Medicaid HMO | $9.35 | ↓ -53% |
| Coventry/First Health | Commercial | $11.90 | ↓ -40% |
| SelectCare | Commercial | $13.60 | ↓ -31% |
| Private Health Care Systems | PPO | $13.60 | ↓ -31% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $14.26 | ↓ -28% |
| Humana | Commercial | $14.45 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $41.07 | ↑ +107% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $41.28 | ↑ +108% |
| UPMC Health Plan | Commercial | $50.03 | ↑ +153% |
| Highmark BCBS of PA | Managed Care | $55.00 | ↑ +178% |
| Highmark BCBS of PA | Commercial - Indemnity | $55.28 | ↑ +179% |
| Highmark BCBS of PA | UPMC Emergent | $109.99 | ↑ +456% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Foam drg >16<=48 sq in w/bdr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $18.60 | $10.76 – $40.77 |
| UPMC Passavant-McCandless | Pittsburgh | $25.20 | $14.26 – $59.16 |
| UPMC Presbyterian | Pittsburgh | $34.20 | $13.92 – $65.91 |
| UPMC Altoona | Altoona | $10.20 | $8.50 – $40.77 |
| UPMC East | Monroeville | $19.80 | $7.75 – $40.77 |
| UPMC Hamot | Erie | $15.60 | $14.13 – $14.13 |
| UPMC Horizon-Greenville | Greenville | $13.80 | $36.00 – $40.77 |
| UPMC Jameson | New Castle | $12.00 | $9.78 – $40.77 |