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Nerve conduction studies 9-10 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$1,926.60
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.
$3,211.00
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.
$73.75 with Highmark BCBS of PA vs $2,729.35 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 | $73.75 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $186.49 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $186.49 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $192.63 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $213.45 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $251.43 | ↓ -87% |
| Highmark BCBS of PA | Managed Care | $257.99 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $264.67 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Indemnity | $285.86 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $288.93 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $302.47 | ↓ -84% |
| UPMC Health Plan | Commercial | $405.22 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $436.76 | ↓ -77% |
| Highmark BCBS of PA | UPMC Emergent | $515.98 | ↓ -73% |
| Aetna of PA | Medicare | $531.15 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $546.28 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $546.33 | ↓ -72% |
| Aetna | Medicare | $556.45 | ↓ -71% |
| Aetna | Neighborhood Network | $809.17 | ↓ -58% |
| Aetna | Home Depot Employer Group | $879.81 | ↓ -54% |
| Aetna | NBR ASO/FI | $899.08 | ↓ -53% |
| Cigna | New Business ASO | $899.08 | ↓ -53% |
| Aetna | EBR FI | $1,220.18 | ↓ -37% |
| Aetna | EBR ASO | $1,284.40 | ↓ -33% |
| Cigna | Commercial | $1,284.40 | ↓ -33% |
| Coventry/First Health | Commercial | $2,247.70 | ↑ +17% |
| Private Health Care Systems | PPO | $2,568.80 | ↑ +33% |
| SelectCare | Commercial | $2,568.80 | ↑ +33% |
| Humana | Commercial | $2,729.35 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Nerve conduction studies 9-10 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $897.00 | $73.05 – $1,345.50 |
| UPMC Passavant-McCandless | Pittsburgh | $3,241.20 | $73.75 – $4,591.70 |
| UPMC Presbyterian | Pittsburgh | $2,996.40 | $73.75 – $4,244.90 |
| UPMC Northwest | Seneca | $1,864.80 | $186.49 – $2,641.80 |
| UPMC Somerset | Somerset | $328.20 | $72.31 – $410.25 |