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Pt application of modality traction mechanical at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$133.20
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.
$222.00
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.
$21.77 with Highmark BCBS of PA vs $188.70 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 | $21.77 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $37.80 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $42.19 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $50.63 | ↓ -62% |
| Aetna | Medicare | $55.50 | ↓ -58% |
| Aetna | Neighborhood Network | $55.94 | ↓ -58% |
| Aetna | Home Depot Employer Group | $60.83 | ↓ -54% |
| Aetna | NBR ASO/FI | $62.16 | ↓ -53% |
| Cigna | New Business ASO | $62.16 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $63.00 | ↓ -53% |
| Aetna | EBR FI | $84.36 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity | $84.38 | ↓ -37% |
| Aetna | EBR ASO | $88.80 | ↓ -33% |
| Cigna | Commercial | $88.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $92.42 | ↓ -31% |
| Highmark BCBS of PA | UPMC Emergent | $101.25 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $111.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $122.10 | ↓ -8% |
| Coventry/First Health | Commercial | $155.40 | ↑ +17% |
| Private Health Care Systems | PPO | $177.60 | ↑ +33% |
| SelectCare | Commercial | $177.60 | ↑ +33% |
| Humana | Commercial | $188.70 | ↑ +42% |
Visitor-reported prices
Comments
Pt application of modality traction mechanical at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $130.20 | $21.56 – $195.30 |
| UPMC Presbyterian | Pittsburgh | $213.60 | $15.71 – $302.60 |
| UPMC Muncy | Muncy | $103.20 | $16.76 – $137.60 |
| UPMC Wellsboro | Wellsboro | $124.80 | $16.76 – $140.40 |
| UPMC Williamsport | Williamsport | $103.20 | $16.76 – $137.60 |