healthcosts.net
Mayo ffspg allergen clam igg at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$88.20
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.
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What you pay up front if you don't use insurance.
$147.00
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.
$6.36 with UPMC Health Plan vs $118.15 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $6.36 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $6.36 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $6.75 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $7.73 | ↓ -91% |
| Aetna of PA | Medicare | $8.21 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.44 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.45 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $8.57 | ↓ -90% |
| Aetna | Medicare | $8.60 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $9.02 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $9.85 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $14.00 | ↓ -84% |
| UPMC Health Plan | Commercial | $19.33 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $24.33 | ↓ -72% |
| Highmark BCBS of PA | Managed Care | $32.59 | ↓ -63% |
| Aetna | Neighborhood Network | $35.03 | ↓ -60% |
| Aetna | Home Depot Employer Group | $38.09 | ↓ -57% |
| Aetna | NBR ASO/FI | $38.92 | ↓ -56% |
| Cigna | New Business ASO | $38.92 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $40.52 | ↓ -54% |
| Aetna | EBR FI | $52.82 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $54.26 | ↓ -38% |
| Aetna | EBR ASO | $55.60 | ↓ -37% |
| Cigna | Commercial | $55.60 | ↓ -37% |
| Highmark BCBS of PA | UPMC Emergent | $65.18 | ↓ -26% |
| Coventry/First Health | Commercial | $97.30 | ↑ +10% |
| Private Health Care Systems | PPO | $111.20 | ↑ +26% |
| SelectCare | Commercial | $111.20 | ↑ +26% |
| Humana | Commercial | $118.15 | ↑ +34% |
Visitor-reported prices
Comments
Mayo ffspg allergen clam igg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $53.40 | $6.36 – $75.65 |
| UPMC Mercy | Pittsburgh | $47.40 | $6.36 – $71.10 |
| UPMC Presbyterian | Pittsburgh | $93.60 | $5.78 – $132.60 |
| UPMC Muncy | Muncy | $144.00 | $6.36 – $192.00 |
| UPMC Northwest | Seneca | $46.80 | $6.36 – $66.30 |
| UPMC Somerset | Somerset | $43.80 | $6.36 – $54.75 |
| UPMC Wellsboro | Wellsboro | $183.20 | $5.78 – $178.20 |
| UPMC Williamsport | Williamsport | $147.00 | $6.36 – $192.00 |