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Screening Mammogram at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$205.20
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.
$342.00
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.
$61.53 with Highmark BCBS of PA vs $366.95 with Highmark BCBS of PA — 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 | $61.53 | ↓ -70% |
| Aetna | Medicare | $85.50 | ↓ -58% |
| Aetna | Neighborhood Network | $86.18 | ↓ -58% |
| Aetna | Home Depot Employer Group | $93.71 | ↓ -54% |
| Aetna | NBR ASO/FI | $95.76 | ↓ -53% |
| Cigna | New Business ASO | $95.76 | ↓ -53% |
| UPMC Health Plan | Managed Medicaid | $115.17 | ↓ -44% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $115.17 | ↓ -44% |
| Aetna | EBR FI | $129.96 | ↓ -37% |
| Aetna | EBR ASO | $136.80 | ↓ -33% |
| Cigna | Commercial | $136.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $137.00 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicaid | $155.27 | ↓ -24% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $163.45 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $171.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $178.09 | ↓ -13% |
| PA Health & Wellness | PA Medicaid HMO | $178.43 | ↓ -13% |
| Highmark BCBS of PA | Managed Care | $183.48 | ↓ -11% |
| Highmark BCBS of PA | Commercial - Indemnity | $238.51 | ↑ +16% |
| Coventry/First Health | Commercial | $239.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $261.43 | ↑ +27% |
| Private Health Care Systems | PPO | $273.60 | ↑ +33% |
| SelectCare | Commercial | $273.60 | ↑ +33% |
| Humana | Commercial | $290.70 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $366.95 | ↑ +79% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Screening Mammogram at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $262.80 | $61.53 – $402.96 |
| UPMC Altoona | Altoona | $345.00 | $60.95 – $460.00 |
| UPMC Bedford | Everett | $205.20 | $85.50 – $307.80 |
| UPMC Cole | Coudersport | $381.00 | $109.94 – $508.00 |
| UPMC Hamot | Erie | $205.20 | $51.30 – $239.40 |
| UPMC Carlisle | Carlisle | $257.40 | $58.77 – $506.81 |
| UPMC Community Osteopathic | Harrisburg | $399.60 | $38.80 – $551.43 |
| UPMC Hanover | Hanover | $257.40 | $81.51 – $506.81 |