healthcosts.net
Generator barostim neo2 2014 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$43,439.40
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.
$72,399.00
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.
$7,289.00 with Highmark Wholecare (prev Gateway) vs $74,469.07 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 | $7,289.00 | ↓ -83% |
| Aetna | Medicare | $9,111.25 | ↓ -79% |
| Aetna | Neighborhood Network | $9,184.14 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $9,655.44 | ↓ -78% |
| Aetna | Home Depot Employer Group | $9,985.93 | ↓ -77% |
| Aetna | NBR ASO/FI | $10,204.60 | ↓ -77% |
| Cigna | New Business ASO | $10,204.60 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $12,026.85 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12,329.34 | ↓ -72% |
| Aetna | EBR FI | $13,849.10 | ↓ -68% |
| Aetna | EBR ASO | $14,578.00 | ↓ -66% |
| Cigna | Commercial | $14,578.00 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $18,222.50 | ↓ -58% |
| Coventry/First Health | Commercial | $25,511.50 | ↓ -41% |
| Highmark BCBS of PA | Managed Care - Social Mission | $27,803.44 | ↓ -36% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $27,945.97 | ↓ -36% |
| Private Health Care Systems | PPO | $29,156.00 | ↓ -33% |
| SelectCare | Commercial | $29,156.00 | ↓ -33% |
| Humana | Commercial | $30,978.25 | ↓ -29% |
| Highmark BCBS of PA | Managed Care | $37,234.53 | ↓ -14% |
| Highmark BCBS of PA | Commercial - Indemnity | $37,427.49 | ↓ -14% |
| UPMC Health Plan | Commercial | $51,298.42 | ↑ +18% |
| Highmark BCBS of PA | UPMC Emergent | $74,469.07 | ↑ +71% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Generator barostim neo2 2014 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $69,642.00 | $108.24 – $33,011.47 |
| UPMC Passavant-McCandless | Pittsburgh | $52,543.20 | $445.94 – $60,665.10 |
| UPMC Presbyterian | Pittsburgh | $115,299.00 | $6,181.20 – $67,592.14 |
| UPMC Muncy | Muncy | $49,450.20 | $304.05 – $1,824.30 |
| UPMC Northwest | Seneca | $42,237.00 | $9,658.00 – $50,588.47 |
| UPMC Wellsboro | Wellsboro | $29,759.20 | $330.84 – $1,654.20 |
| UPMC Williamsport | Williamsport | $54,031.20 | $405.40 – $1,824.30 |