healthcosts.net
Hemodialysis one evaluation at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$2,982.00
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.
$4,970.00
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.
$162.04 with Aetna vs $1,721.54 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 | Neighborhood Network | $162.04 | ↓ -95% |
| Aetna | Home Depot Employer Group | $176.18 | ↓ -94% |
| Aetna | NBR ASO/FI | $180.04 | ↓ -94% |
| Cigna | New Business ASO | $180.04 | ↓ -94% |
| Aetna | EBR FI | $244.34 | ↓ -92% |
| Aetna | EBR ASO | $257.20 | ↓ -91% |
| Cigna | Commercial | $257.20 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $286.45 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $353.65 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $370.10 | ↓ -88% |
| Coventry/First Health | Commercial | $450.10 | ↓ -85% |
| Private Health Care Systems | PPO | $514.40 | ↓ -83% |
| SelectCare | Commercial | $514.40 | ↓ -83% |
| Humana | Commercial | $546.55 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $575.97 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $642.71 | ↓ -78% |
| Aetna of PA | Medicare | $700.46 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $720.40 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $720.47 | ↓ -76% |
| Aetna | Medicare | $733.81 | ↓ -75% |
| Highmark BCBS of PA | Managed Care | $860.77 | ↓ -71% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,071.20 | ↓ -64% |
| UPMC Health Plan | Commercial | $1,405.93 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,434.63 | ↓ -52% |
| Highmark BCBS of PA | UPMC Emergent | $1,721.54 | ↓ -42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Hemodialysis one evaluation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,025.40 | $283.77 – $1,538.10 |
| UPMC Passavant-McCandless | Pittsburgh | $1,389.00 | $286.45 – $1,751.00 |
| UPMC Presbyterian | Pittsburgh | $5,708.40 | $198.00 – $7,628.75 |
| UPMC Northwest | Seneca | $1,223.40 | $279.71 – $1,733.15 |
| UPMC Somerset | Somerset | $1,081.80 | $189.75 – $1,352.25 |
| UPMC Wellsboro | Wellsboro | $2,340.80 | $211.20 – $1,541.70 |
| UPMC Williamsport | Williamsport | $1,935.60 | $211.20 – $2,580.80 |