healthcosts.net
Lead tachy durata sj4 58cm at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$7,220.40
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.
$12,034.00
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.
$2,406.80 with Highmark Wholecare (prev Gateway) vs $30,304.60 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 | $2,406.80 | ↓ -67% |
| Aetna | Medicare | $3,008.50 | ↓ -58% |
| Aetna | Neighborhood Network | $3,032.57 | ↓ -58% |
| Aetna | Home Depot Employer Group | $3,297.32 | ↓ -54% |
| Aetna | NBR ASO/FI | $3,369.52 | ↓ -53% |
| Cigna | New Business ASO | $3,369.52 | ↓ -53% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3,929.20 | ↓ -46% |
| PA Health & Wellness | PA Medicaid HMO | $3,971.22 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4,071.10 | ↓ -44% |
| Aetna | EBR FI | $4,572.92 | ↓ -37% |
| Aetna | EBR ASO | $4,813.60 | ↓ -33% |
| Cigna | Commercial | $4,813.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,017.00 | ↓ -17% |
| Coventry/First Health | Commercial | $8,423.80 | ↑ +17% |
| Private Health Care Systems | PPO | $9,627.20 | ↑ +33% |
| SelectCare | Commercial | $9,627.20 | ↑ +33% |
| Humana | Commercial | $10,228.90 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $11,314.39 | ↑ +57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $11,372.39 | ↑ +58% |
| Highmark BCBS of PA | Managed Care | $15,152.30 | ↑ +110% |
| Highmark BCBS of PA | Commercial - Indemnity | $15,230.82 | ↑ +111% |
| UPMC Health Plan | Commercial | $20,711.90 | ↑ +187% |
| Highmark BCBS of PA | UPMC Emergent | $30,304.60 | ↑ +320% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Lead tachy durata sj4 58cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $13,024.20 | $1,073.75 – $24,493.72 |
| UPMC Presbyterian | Pittsburgh | $32,130.60 | $0.12 – $27,290.54 |