healthcosts.net
Oscillation chest wall mechanical per session at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$394.80
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.
$658.00
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.
$24.36 with Highmark BCBS of PA vs $213.30 with Aetna — 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 | $24.36 | ↓ -94% |
| Aetna | Neighborhood Network | $38.05 | ↓ -90% |
| Aetna | Home Depot Employer Group | $41.37 | ↓ -90% |
| Aetna | NBR ASO/FI | $42.28 | ↓ -89% |
| Cigna | New Business ASO | $42.28 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $45.93 | ↓ -88% |
| Aetna | EBR FI | $57.38 | ↓ -85% |
| Aetna | EBR ASO | $60.40 | ↓ -85% |
| Cigna | Commercial | $60.40 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $63.62 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $70.50 | ↓ -82% |
| UPMC Health Plan | Commercial | $74.07 | ↓ -81% |
| PA Health & Wellness | PA Medicaid HMO | $83.05 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $85.21 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Indemnity | $94.42 | ↓ -76% |
| Coventry/First Health | Commercial | $105.70 | ↓ -73% |
| Private Health Care Systems | PPO | $120.80 | ↓ -69% |
| SelectCare | Commercial | $120.80 | ↓ -69% |
| Humana | Commercial | $128.35 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $167.42 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $170.42 | ↓ -57% |
| Aetna of PA | Medicare | $203.61 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $209.40 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $209.42 | ↓ -47% |
| Aetna | Medicare | $213.30 | ↓ -46% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Oscillation chest wall mechanical per session at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $449.40 | $24.13 – $674.10 |
| UPMC Passavant-McCandless | Pittsburgh | $316.80 | $24.36 – $448.80 |
| UPMC Presbyterian | Pittsburgh | $235.20 | $24.36 – $248.20 |
| UPMC Muncy | Muncy | $128.40 | $30.60 – $163.20 |
| UPMC Northwest | Seneca | $96.00 | $45.93 – $209.42 |
| UPMC Somerset | Somerset | $419.40 | $23.88 – $524.25 |
| UPMC Wellsboro | Wellsboro | $155.20 | $33.30 – $166.50 |
| UPMC Williamsport | Williamsport | $128.40 | $45.93 – $209.40 |