healthcosts.net
Graft patch felt ptfe 2x2 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$4,372.80
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.
$7,288.00
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.
$215.20 with Highmark Wholecare (prev Gateway) vs $4,955.63 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $215.20 | ↓ -95% |
| Aetna | Medicare | $269.00 | ↓ -94% |
| Aetna | Neighborhood Network | $271.15 | ↓ -94% |
| Aetna | Home Depot Employer Group | $294.82 | ↓ -93% |
| Aetna | NBR ASO/FI | $301.28 | ↓ -93% |
| Cigna | New Business ASO | $301.28 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $355.08 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $364.01 | ↓ -92% |
| Aetna | EBR FI | $408.88 | ↓ -91% |
| Aetna | EBR ASO | $430.40 | ↓ -90% |
| Cigna | Commercial | $430.40 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $538.00 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $642.53 | ↓ -85% |
| Coventry/First Health | Commercial | $753.20 | ↓ -83% |
| Private Health Care Systems | PPO | $860.80 | ↓ -80% |
| SelectCare | Commercial | $860.80 | ↓ -80% |
| Humana | Commercial | $914.60 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,850.21 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,859.70 | ↓ -57% |
| UPMC Health Plan | Commercial | $2,023.27 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $2,477.82 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,490.66 | ↓ -43% |
| Highmark BCBS of PA | UPMC Emergent | $4,955.63 | ↑ +13% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft patch felt ptfe 2x2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7,958.40 | $24.48 – $1,302.01 |
| UPMC Passavant-McCandless | Pittsburgh | $39,576.60 | $22.66 – $2,392.71 |
| UPMC Presbyterian | Pittsburgh | $55,935.00 | $86.16 – $2,665.92 |
| UPMC Muncy | Muncy | $4,338.00 | $16.05 – $96.30 |
| UPMC Northwest | Seneca | $2,249.40 | $106.50 – $1,995.27 |
| UPMC Wellsboro | Wellsboro | $5,246.40 | $17.41 – $87.08 |
| UPMC Williamsport | Williamsport | $16,977.00 | $80.20 – $360.90 |