Injection, cangrelor at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
not published by hospital
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.
$2,112.40
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.
$11.20 with Highmark BCBS of PA vs $1,795.54 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 | $11.20 | — |
| UPMC Health Plan | Managed Medicare | $17.25 | — |
| Aetna of PA | Medicare | $20.98 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21.58 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $21.58 | — |
| Aetna | Medicare | $21.98 | — |
| UPMC Health Plan | Commercial | $25.63 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $32.26 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $32.42 | — |
| Highmark BCBS of PA | Managed Care | $43.20 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $43.43 | — |
| Highmark BCBS of PA | UPMC Emergent | $86.40 | — |
| Aetna | Neighborhood Network | $532.32 | — |
| UPMC Work Partners | Workers Comp | $545.63 | — |
| Aetna | Home Depot Employer Group | $578.80 | — |
| Cigna | New Business ASO | $591.47 | — |
| Aetna | NBR ASO/FI | $591.47 | — |
| Aetna | EBR FI | $802.71 | — |
| Aetna | EBR ASO | $844.96 | — |
| Cigna | Commercial | $844.96 | — |
| PA Health & Wellness | PA Medicaid HMO | $1,161.82 | — |
| Coventry/First Health | Commercial | $1,478.68 | — |
| SelectCare | Commercial | $1,689.92 | — |
| Private Health Care Systems | PPO | $1,689.92 | — |
| Humana | Commercial | $1,795.54 | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, cangrelor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $4,032.00 | $11.20 – $21.58 |
| UPMC Mercy | Pittsburgh | $1,943.40 | $11.10 – $21.98 |
| UPMC Passavant-McCandless | Pittsburgh | $2,314.80 | $11.20 – $21.98 |
| UPMC Presbyterian | Pittsburgh | $3,087.60 | $11.20 – $33.77 |
| UPMC Carlisle | Carlisle | $572.40 | $10.99 – $636.65 |
| UPMC Community Osteopathic | Harrisburg | $572.40 | $18.48 – $636.65 |
| UPMC Hamot | Erie | $1,969.80 | $11.10 – $21.58 |
| UPMC Hanover | Hanover | $572.40 | $19.78 – $31.97 |