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Sec art mech thrmbc non-intracranial add-on at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$20,158.80
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.
$33,598.00
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.
$2,828.14 with UPMC Health Plan vs $28,558.30 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $2,828.14 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $3,170.58 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3,545.35 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,893.66 | ↓ -61% |
| Aetna | Medicare | $8,399.50 | ↓ -58% |
| Aetna | Neighborhood Network | $8,466.70 | ↓ -58% |
| Aetna | Home Depot Employer Group | $9,205.85 | ↓ -54% |
| Aetna | NBR ASO/FI | $9,407.44 | ↓ -53% |
| Cigna | New Business ASO | $9,407.44 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10,261.38 | ↓ -49% |
| Highmark BCBS of PA | Managed Care | $10,571.80 | ↓ -48% |
| Aetna | EBR FI | $12,767.24 | ↓ -37% |
| Aetna | EBR ASO | $13,439.20 | ↓ -33% |
| Cigna | Commercial | $13,439.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $13,742.87 | ↓ -32% |
| Highmark Wholecare (prev Gateway) | Medicare | $16,799.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $18,478.90 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $21,143.60 | ↑ +5% |
| Coventry/First Health | Commercial | $23,518.60 | ↑ +17% |
| Private Health Care Systems | PPO | $26,878.40 | ↑ +33% |
| SelectCare | Commercial | $26,878.40 | ↑ +33% |
| Humana | Commercial | $28,558.30 | ↑ +42% |
Visitor-reported prices
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Sec art mech thrmbc non-intracranial add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $14,101.80 | $2,848.28 – $19,977.55 |
| UPMC Mercy | Pittsburgh | $8,416.80 | $3,507.00 – $12,625.20 |
| UPMC Presbyterian | Pittsburgh | $14,806.20 | $242.86 – $20,975.45 |
| UPMC Somerset | Somerset | $12,577.80 | $232.74 – $15,722.25 |
| UPMC Williamsport | Williamsport | $5,352.00 | $259.05 – $7,136.00 |