Gastro/jejuno tube, std at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$1,114.80
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.
?
What you pay up front if you don't use insurance.
$1,858.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$14.50 with Aetna vs $497.86 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $14.50 | ↓ -99% |
| Aetna | Neighborhood Network | $14.62 | ↓ -99% |
| Aetna | Home Depot Employer Group | $15.89 | ↓ -99% |
| Cigna | New Business ASO | $16.24 | ↓ -99% |
| Aetna | NBR ASO/FI | $16.24 | ↓ -99% |
| Aetna | EBR FI | $22.04 | ↓ -98% |
| Aetna | EBR ASO | $23.20 | ↓ -98% |
| Cigna | Commercial | $23.20 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $29.00 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $31.90 | ↓ -97% |
| Coventry/First Health | Commercial | $40.60 | ↓ -96% |
| SelectCare | Commercial | $46.40 | ↓ -96% |
| Private Health Care Systems | PPO | $46.40 | ↓ -96% |
| Humana | Commercial | $49.30 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $62.02 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $64.55 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $131.40 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $185.88 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $186.83 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $222.26 | ↓ -80% |
| UPMC Health Plan | Commercial | $226.14 | ↓ -80% |
| Highmark BCBS of PA | Managed Care | $248.93 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Indemnity | $250.22 | ↓ -78% |
| Highmark BCBS of PA | UPMC Emergent | $497.86 | ↓ -55% |
Visitor-reported prices
Comments
Gastro/jejuno tube, std at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $1,272.60 | $26.82 – $184.30 |
| UPMC Mercy | Pittsburgh | $702.60 | $62.02 – $145.53 |
| UPMC Passavant-McCandless | Pittsburgh | $1,145.40 | $62.02 – $267.44 |
| UPMC Presbyterian | Pittsburgh | $2,332.20 | $36.70 – $297.97 |
| UPMC Altoona | Altoona | $790.80 | $11.00 – $184.30 |
| UPMC East | Monroeville | $1,269.60 | $23.75 – $426.93 |
| UPMC Hamot | Erie | $1,338.60 | $62.02 – $63.94 |
| UPMC Northwest | Seneca | $526.20 | $62.02 – $223.01 |