healthcosts.net
Piflu f-18, dia 1 millicurie at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
not published by hospital
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.
$13,056.70
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.
$223.15 with Highmark BCBS of PA vs $11,098.19 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 | $223.15 | — |
| UPMC Health Plan | Managed Medicare | $287.03 | — |
| Aetna of PA | Medicare | $349.06 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $359.00 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $359.04 | — |
| Aetna | Medicare | $365.68 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $642.58 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $645.88 | — |
| Highmark BCBS of PA | Managed Care | $860.55 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $865.01 | — |
| UPMC Health Plan | Commercial | $988.96 | — |
| Highmark BCBS of PA | UPMC Emergent | $1,721.11 | — |
| Aetna | Neighborhood Network | $3,290.29 | — |
| UPMC Work Partners | Workers Comp | $3,372.55 | — |
| Aetna | Home Depot Employer Group | $3,577.54 | — |
| Aetna | NBR ASO/FI | $3,655.88 | — |
| Cigna | New Business ASO | $3,655.88 | — |
| Aetna | EBR FI | $4,961.55 | — |
| Aetna | EBR ASO | $5,222.68 | — |
| Cigna | Commercial | $5,222.68 | — |
| PA Health & Wellness | PA Medicaid HMO | $7,181.19 | — |
| Coventry/First Health | Commercial | $9,139.69 | — |
| Private Health Care Systems | PPO | $10,445.36 | — |
| SelectCare | Commercial | $10,445.36 | — |
| Humana | Commercial | $11,098.19 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Piflu f-18, dia 1 millicurie at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,305.00 | $223.15 – $1,848.75 |
| UPMC Presbyterian | Pittsburgh | $1,641.60 | $223.15 – $2,325.60 |
| UPMC Mercy | Pittsburgh | not published | $221.05 – $11,751.03 |
| UPMC Northwest | Seneca | $1,033.80 | $301.49 – $4,714.77 |
| UPMC Somerset | Somerset | $1,252.20 | $218.81 – $1,565.25 |
| UPMC Williamsport | Williamsport | $1,119.00 | $335.70 – $1,678.50 |