healthcosts.net
Immobilizer shldr cntor adlt at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$369.60
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.
$616.00
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.
$35.40 with Highmark Wholecare (prev Gateway) vs $1,253.20 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 | $35.40 | ↓ -90% |
| Aetna | Medicare | $44.25 | ↓ -88% |
| Aetna | Neighborhood Network | $44.60 | ↓ -88% |
| Aetna | Home Depot Employer Group | $48.50 | ↓ -87% |
| Aetna | NBR ASO/FI | $49.56 | ↓ -87% |
| Cigna | New Business ASO | $49.56 | ↓ -87% |
| Aetna | EBR FI | $67.26 | ↓ -82% |
| Aetna | EBR ASO | $70.80 | ↓ -81% |
| Cigna | Commercial | $70.80 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $88.50 | ↓ -76% |
| PA Health & Wellness | PA Medicaid HMO | $97.35 | ↓ -74% |
| Coventry/First Health | Commercial | $123.90 | ↓ -66% |
| Private Health Care Systems | PPO | $141.60 | ↓ -62% |
| SelectCare | Commercial | $141.60 | ↓ -62% |
| Humana | Commercial | $150.45 | ↓ -59% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $162.49 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $229.76 | ↓ -38% |
| Highmark BCBS of PA | Managed Care - Social Mission | $467.89 | ↑ +27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $470.29 | ↑ +27% |
| Highmark BCBS of PA | Managed Care | $626.60 | ↑ +70% |
| Highmark BCBS of PA | Commercial - Indemnity | $629.85 | ↑ +70% |
| UPMC Health Plan | Commercial | $735.67 | ↑ +99% |
| Highmark BCBS of PA | UPMC Emergent | $1,253.20 | ↑ +239% |
Visitor-reported prices
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Immobilizer shldr cntor adlt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $378.00 | $14.88 – $473.42 |
| UPMC Passavant-McCandless | Pittsburgh | $376.80 | $9.24 – $870.00 |
| UPMC Presbyterian | Pittsburgh | $631.80 | $7.80 – $969.34 |
| UPMC Muncy | Muncy | $35.40 | $4.50 – $229.76 |
| UPMC Northwest | Seneca | $198.00 | $33.25 – $725.49 |
| UPMC Wellsboro | Wellsboro | $43.00 | $2.65 – $229.76 |
| UPMC Williamsport | Williamsport | $362.40 | $6.00 – $229.76 |