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Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$4,867.80
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.
$8,113.00
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.
$2,044.48 with Aetna vs $18,858.40 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 |
|---|---|---|---|
| Aetna | Neighborhood Network | $2,044.48 | ↓ -58% |
| Aetna | Home Depot Employer Group | $2,222.96 | ↓ -54% |
| Aetna | NBR ASO/FI | $2,271.64 | ↓ -53% |
| Cigna | New Business ASO | $2,271.64 | ↓ -53% |
| UPMC Health Plan | Commercial | $2,594.16 | ↓ -47% |
| Aetna | EBR FI | $3,082.94 | ↓ -37% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3,162.17 | ↓ -35% |
| Aetna | EBR ASO | $3,245.20 | ↓ -33% |
| Cigna | Commercial | $3,245.20 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $3,625.84 | ↓ -26% |
| UPMC Health Plan | Managed Medicare | $4,449.70 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $4,462.15 | ↓ -8% |
| Aetna of PA | Medicare | $5,411.37 | ↑ +11% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,565.47 | ↑ +14% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,565.99 | ↑ +14% |
| Aetna | Medicare | $5,669.06 | ↑ +16% |
| Coventry/First Health | Commercial | $5,679.10 | ↑ +17% |
| Private Health Care Systems | PPO | $6,490.40 | ↑ +33% |
| SelectCare | Commercial | $6,490.40 | ↑ +33% |
| Humana | Commercial | $6,896.05 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,040.51 | ↑ +45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $9,152.33 | ↑ +88% |
| Highmark BCBS of PA | Managed Care | $9,429.20 | ↑ +94% |
| Highmark BCBS of PA | Commercial - Indemnity | $12,257.54 | ↑ +152% |
| Highmark BCBS of PA | UPMC Emergent | $18,858.40 | ↑ +287% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $11,923.20 | $2,502.27 – $16,891.20 |
| UPMC Mercy | Pittsburgh | $5,160.00 | $2,399.40 – $7,740.00 |
| UPMC Presbyterian | Pittsburgh | $5,418.00 | $931.20 – $7,675.50 |
| UPMC Northwest | Seneca | $1,806.60 | $1,204.40 – $5,565.99 |
| UPMC Somerset | Somerset | $9,498.60 | $892.40 – $11,873.25 |
| UPMC Williamsport | Williamsport | $8,073.60 | $993.28 – $10,764.80 |