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Plcmnt ureteral stent pq w/img exstng trct at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$4,913.40
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.
$8,189.00
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.
$714.38 with Highmark BCBS of PA vs $6,960.65 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 | $714.38 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $1,355.34 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,866.00 | ↓ -62% |
| Aetna | Neighborhood Network | $2,063.63 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,067.66 | ↓ -58% |
| Aetna | Home Depot Employer Group | $2,243.79 | ↓ -54% |
| Aetna | NBR ASO/FI | $2,292.92 | ↓ -53% |
| Cigna | New Business ASO | $2,292.92 | ↓ -53% |
| Highmark BCBS of PA | Managed Care | $2,499.14 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,769.17 | ↓ -44% |
| UPMC Health Plan | Managed Medicare | $2,839.01 | ↓ -42% |
| Aetna | EBR FI | $3,111.82 | ↓ -37% |
| Aetna | EBR ASO | $3,275.60 | ↓ -33% |
| Cigna | Commercial | $3,275.60 | ↓ -33% |
| Aetna of PA | Medicare | $3,452.59 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,550.91 | ↓ -28% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,551.23 | ↓ -28% |
| Aetna | Medicare | $3,617.00 | ↓ -26% |
| UPMC Health Plan | Commercial | $4,016.70 | ↓ -18% |
| PA Health & Wellness | PA Medicaid HMO | $4,503.95 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $4,998.29 | ↑ +2% |
| Coventry/First Health | Commercial | $5,732.30 | ↑ +17% |
| Private Health Care Systems | PPO | $6,551.20 | ↑ +33% |
| SelectCare | Commercial | $6,551.20 | ↑ +33% |
| Humana | Commercial | $6,960.65 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Plcmnt ureteral stent pq w/img exstng trct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,913.40 | $714.38 – $6,960.65 |
| UPMC Mercy | Pittsburgh | $4,913.40 | $707.65 – $7,370.10 |
| UPMC Presbyterian | Pittsburgh | $6,505.80 | $714.38 – $9,216.55 |
| UPMC Northwest | Seneca | $4,913.40 | $1,355.34 – $6,960.65 |
| UPMC Somerset | Somerset | $7,729.80 | $700.49 – $9,662.25 |
| UPMC Williamsport | Williamsport | $4,370.40 | $993.28 – $5,827.20 |