Neuromatrix nerve cuff, cm at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$4,344.60
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.
$7,241.00
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.
$1,271.20 with Highmark Wholecare (prev Gateway) vs $7,118.72 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 | $1,271.20 | ↓ -71% |
| Aetna | Medicare | $1,589.00 | ↓ -63% |
| Aetna | Neighborhood Network | $1,601.71 | ↓ -63% |
| Aetna | Home Depot Employer Group | $1,741.54 | ↓ -60% |
| Cigna | New Business ASO | $1,779.68 | ↓ -59% |
| Aetna | NBR ASO/FI | $1,779.68 | ↓ -59% |
| PA Health & Wellness | PA Medicaid HMO | $2,097.48 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,150.23 | ↓ -51% |
| Aetna | EBR FI | $2,415.28 | ↓ -44% |
| Cigna | Commercial | $2,542.40 | ↓ -41% |
| Aetna | EBR ASO | $2,542.40 | ↓ -41% |
| UPMC Health Plan | Commercial | $2,575.96 | ↓ -41% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3,178.00 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,178.00 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $3,559.36 | ↓ -18% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,559.36 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,622.92 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,622.92 | ↓ -17% |
| Coventry/First Health | Commercial | $4,449.20 | ↑ +2% |
| Private Health Care Systems | PPO | $5,084.80 | ↑ +17% |
| SelectCare | Commercial | $5,084.80 | ↑ +17% |
| Humana | Commercial | $5,402.60 | ↑ +24% |
| Highmark BCBS of PA | UPMC Emergent | $7,118.72 | ↑ +64% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Neuromatrix nerve cuff, cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $7,900.20 | $3,394.15 – $3,394.15 |
| UPMC Altoona | Altoona | $3,399.00 | $1,008.33 – $4,245.60 |
| UPMC Bedford | Everett | $3,021.00 | $851.39 – $4,032.90 |