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Revasc intra lithotrip-ather at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$23,264.40
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.
$38,774.00
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.
$4,293.62 with Highmark BCBS of PA vs $32,957.90 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 | $4,293.62 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $9,559.68 | ↓ -59% |
| Aetna | Neighborhood Network | $9,771.05 | ↓ -58% |
| Aetna | Home Depot Employer Group | $10,624.08 | ↓ -54% |
| Aetna | NBR ASO/FI | $10,856.72 | ↓ -53% |
| Cigna | New Business ASO | $10,856.72 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $12,427.13 | ↓ -47% |
| Highmark BCBS of PA | Managed Care | $12,803.06 | ↓ -45% |
| Aetna | EBR FI | $14,734.12 | ↓ -37% |
| UPMC Health Plan | Managed Medicare | $14,781.05 | ↓ -36% |
| Aetna | EBR ASO | $15,509.60 | ↓ -33% |
| Cigna | Commercial | $15,509.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $16,643.41 | ↓ -28% |
| Aetna of PA | Medicare | $17,975.56 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $18,487.43 | ↓ -21% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18,489.15 | ↓ -21% |
| Aetna | Medicare | $18,831.54 | ↓ -19% |
| UPMC Health Plan | Commercial | $19,018.65 | ↓ -18% |
| PA Health & Wellness | PA Medicaid HMO | $21,325.70 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $25,606.13 | ↑ +10% |
| Coventry/First Health | Commercial | $27,141.80 | ↑ +17% |
| Private Health Care Systems | PPO | $31,019.20 | ↑ +33% |
| SelectCare | Commercial | $31,019.20 | ↑ +33% |
| Humana | Commercial | $32,957.90 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Revasc intra lithotrip-ather at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $23,640.60 | $4,253.12 – $35,460.90 |
| UPMC Passavant-McCandless | Pittsburgh | $22,821.00 | $4,293.62 – $32,329.75 |
| UPMC Somerset | Somerset | $22,899.00 | $4,210.10 – $28,623.75 |
| UPMC Williamsport | Williamsport | $20,533.20 | $13,412.28 – $30,799.80 |