healthcosts.net
Ins pq tunnld ip cath w/img at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$8,686.20
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.
$14,477.00
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.
$2,234.51 with UPMC Work Partners vs $16,387.54 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $2,234.51 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,747.85 | ↓ -68% |
| UPMC Health Plan | Managed Medicare | $2,904.94 | ↓ -67% |
| Aetna of PA | Medicare | $3,532.77 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,633.37 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,633.70 | ↓ -58% |
| Aetna | Neighborhood Network | $3,648.20 | ↓ -58% |
| Aetna | Medicare | $3,700.99 | ↓ -57% |
| UPMC Health Plan | Commercial | $3,954.93 | ↓ -54% |
| Aetna | Home Depot Employer Group | $3,966.70 | ↓ -54% |
| Aetna | NBR ASO/FI | $4,053.56 | ↓ -53% |
| Cigna | New Business ASO | $4,053.56 | ↓ -53% |
| Aetna | EBR FI | $5,501.26 | ↓ -37% |
| Aetna | EBR ASO | $5,790.80 | ↓ -33% |
| Cigna | Commercial | $5,790.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $6,118.05 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,953.18 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $7,962.35 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $8,193.77 | ↓ -6% |
| Coventry/First Health | Commercial | $10,133.90 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $10,651.54 | ↑ +23% |
| Private Health Care Systems | PPO | $11,581.60 | ↑ +33% |
| SelectCare | Commercial | $11,581.60 | ↑ +33% |
| Humana | Commercial | $12,305.45 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $16,387.54 | ↑ +89% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ins pq tunnld ip cath w/img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $14,346.00 | $2,234.51 – $20,323.50 |
| UPMC Mercy | Pittsburgh | $11,944.80 | $2,515.16 – $17,917.20 |
| UPMC Presbyterian | Pittsburgh | $11,676.60 | $931.20 – $16,541.85 |
| UPMC Northwest | Seneca | $8,416.80 | $2,234.51 – $11,923.80 |
| UPMC Somerset | Somerset | $11,758.20 | $892.40 – $14,697.75 |
| UPMC Williamsport | Williamsport | $7,670.40 | $993.28 – $10,227.20 |