healthcosts.net
Rf abltj nrv nrvtg si jt at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$3,989.40
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.
$6,649.00
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.
$274.72 with Highmark BCBS of PA vs $5,651.65 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 | $274.72 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $587.87 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $611.66 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $795.13 | ↓ -80% |
| Highmark BCBS of PA | Managed Care | $819.18 | ↓ -79% |
| UPMC Health Plan | Commercial | $949.33 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,064.90 | ↓ -73% |
| UPMC Health Plan | Managed Medicare | $1,607.42 | ↓ -60% |
| Highmark BCBS of PA | UPMC Emergent | $1,638.36 | ↓ -59% |
| Aetna | Neighborhood Network | $1,675.55 | ↓ -58% |
| Aetna | Home Depot Employer Group | $1,821.83 | ↓ -54% |
| Aetna | NBR ASO/FI | $1,861.72 | ↓ -53% |
| Cigna | New Business ASO | $1,861.72 | ↓ -53% |
| Aetna of PA | Medicare | $1,954.82 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,010.48 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,010.67 | ↓ -50% |
| Aetna | Medicare | $2,047.90 | ↓ -49% |
| Aetna | EBR FI | $2,526.62 | ↓ -37% |
| Aetna | EBR ASO | $2,659.60 | ↓ -33% |
| Cigna | Commercial | $2,659.60 | ↓ -33% |
| PA Health & Wellness | PA Medicaid HMO | $3,656.95 | ↓ -8% |
| Coventry/First Health | Commercial | $4,654.30 | ↑ +17% |
| Private Health Care Systems | PPO | $5,319.20 | ↑ +33% |
| SelectCare | Commercial | $5,319.20 | ↑ +33% |
| Humana | Commercial | $5,651.65 | ↑ +42% |
Visitor-reported prices
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Rf abltj nrv nrvtg si jt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,763.80 | $274.72 – $5,332.05 |
| UPMC Mercy | Pittsburgh | $3,989.40 | $272.13 – $5,984.10 |
| UPMC Presbyterian | Pittsburgh | $5,320.80 | $274.72 – $7,537.80 |
| UPMC Northwest | Seneca | $3,989.40 | $587.87 – $5,651.65 |
| UPMC Somerset | Somerset | $5,661.00 | $269.38 – $7,076.25 |
| UPMC Williamsport | Williamsport | $3,768.60 | $587.87 – $5,024.80 |