healthcosts.net
Ghs nerve block interscaline at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$1,573.20
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.
?
What you pay up front if you don't use insurance.
$2,622.00
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.
$59.95 with UPMC Health Plan vs $3,281.43 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $59.95 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $59.95 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $80.82 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $85.08 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $92.88 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $236.54 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $550.23 | ↓ -65% |
| Aetna | Neighborhood Network | $660.74 | ↓ -58% |
| Aetna | Home Depot Employer Group | $718.43 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $732.84 | ↓ -53% |
| Aetna | NBR ASO/FI | $734.16 | ↓ -53% |
| Cigna | New Business ASO | $734.16 | ↓ -53% |
| UPMC Health Plan | Commercial | $768.54 | ↓ -51% |
| Aetna of PA | Medicare | $891.22 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicare | $916.60 | ↓ -42% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $916.68 | ↓ -42% |
| Aetna | Medicare | $933.66 | ↓ -41% |
| Aetna | EBR FI | $996.36 | ↓ -37% |
| Aetna | EBR ASO | $1,048.80 | ↓ -33% |
| Cigna | Commercial | $1,048.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,225.07 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,592.54 | ↑ +1% |
| Highmark BCBS of PA | Managed Care | $1,640.71 | ↑ +4% |
| Coventry/First Health | Commercial | $1,835.40 | ↑ +17% |
| Private Health Care Systems | PPO | $2,097.60 | ↑ +33% |
| SelectCare | Commercial | $2,097.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,132.85 | ↑ +36% |
| Humana | Commercial | $2,228.70 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $3,281.43 | ↑ +109% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ghs nerve block interscaline at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,462.20 | $59.95 – $2,071.45 |
| UPMC Mercy | Pittsburgh | $1,541.40 | $59.95 – $2,312.10 |
| UPMC Presbyterian | Pittsburgh | $2,959.80 | $59.95 – $4,193.05 |
| UPMC Northwest | Seneca | $3,582.00 | $59.95 – $5,074.50 |
| UPMC Williamsport | Williamsport | $3,548.40 | $59.95 – $4,731.20 |