healthcosts.net
Parathormone (pth) intact at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$471.00
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.
$785.00
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.
$35.64 with UPMC Health Plan vs $667.25 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 Medicare | $35.64 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $40.80 | ↓ -91% |
| Aetna of PA | Medicare | $43.34 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $44.58 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $44.58 | ↓ -91% |
| Aetna | Medicare | $45.41 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $46.75 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $46.75 | ↓ -90% |
| UPMC Health Plan | Commercial | $62.36 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $63.03 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $66.35 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $72.43 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $80.54 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $140.01 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $187.50 | ↓ -60% |
| Aetna | Neighborhood Network | $197.82 | ↓ -58% |
| Aetna | Home Depot Employer Group | $215.09 | ↓ -54% |
| Aetna | NBR ASO/FI | $219.80 | ↓ -53% |
| Cigna | New Business ASO | $219.80 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $233.11 | ↓ -51% |
| Aetna | EBR FI | $298.30 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity | $312.20 | ↓ -34% |
| Aetna | EBR ASO | $314.00 | ↓ -33% |
| Cigna | Commercial | $314.00 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $375.01 | ↓ -20% |
| Coventry/First Health | Commercial | $549.50 | ↑ +17% |
| Private Health Care Systems | PPO | $628.00 | ↑ +33% |
| SelectCare | Commercial | $628.00 | ↑ +33% |
| Humana | Commercial | $667.25 | ↑ +42% |
Visitor-reported prices
Comments
Parathormone (pth) intact at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $226.20 | $38.36 – $320.45 |
| UPMC Mercy | Pittsburgh | $385.80 | $34.41 – $578.70 |
| UPMC Presbyterian | Pittsburgh | $741.60 | $40.80 – $1,050.60 |
| UPMC Muncy | Muncy | $188.40 | $40.80 – $251.20 |
| UPMC Northwest | Seneca | $204.00 | $37.44 – $289.00 |
| UPMC Somerset | Somerset | $209.40 | $40.80 – $228.00 |
| UPMC Wellsboro | Wellsboro | $228.00 | $40.80 – $210.60 |
| UPMC Williamsport | Williamsport | $188.40 | $40.80 – $251.20 |