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In-111 oxyquinolin per 0.5 mci at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$4,245.60
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.
$7,076.00
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.
$547.21 with Highmark BCBS of PA vs $6,014.60 with Humana — 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 BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $547.21 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $667.10 | ↓ -84% |
| Aetna of PA | Medicare | $811.27 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $834.37 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $834.45 | ↓ -80% |
| Aetna | Medicare | $849.90 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,575.71 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,583.79 | ↓ -63% |
| Aetna | Neighborhood Network | $1,783.15 | ↓ -58% |
| Aetna | Home Depot Employer Group | $1,938.82 | ↓ -54% |
| Aetna | NBR ASO/FI | $1,981.28 | ↓ -53% |
| Cigna | New Business ASO | $1,981.28 | ↓ -53% |
| Highmark BCBS of PA | Managed Care | $2,110.21 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,121.14 | ↓ -50% |
| Aetna | EBR FI | $2,688.88 | ↓ -37% |
| Aetna | EBR ASO | $2,830.40 | ↓ -33% |
| Cigna | Commercial | $2,830.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $3,671.36 | ↓ -14% |
| PA Health & Wellness | PA Medicaid HMO | $3,891.80 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $4,220.41 | ↓ -1% |
| Coventry/First Health | Commercial | $4,953.20 | ↑ +17% |
| Private Health Care Systems | PPO | $5,660.80 | ↑ +33% |
| SelectCare | Commercial | $5,660.80 | ↑ +33% |
| Humana | Commercial | $6,014.60 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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In-111 oxyquinolin per 0.5 mci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,127.40 | $524.24 – $1,691.10 |
| UPMC Passavant-McCandless | Pittsburgh | $1,305.00 | $547.21 – $1,848.75 |
| UPMC Presbyterian | Pittsburgh | $10,690.80 | $547.21 – $15,145.30 |
| UPMC Somerset | Somerset | $6,806.40 | $536.56 – $8,508.00 |
| UPMC Williamsport | Williamsport | $1,305.60 | $780.21 – $1,958.40 |