healthcosts.net
Splint finger 4 prong foam sm at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$222.60
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.
?
What you pay up front if you don't use insurance.
$371.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$20.92 with Highmark BCBS of PA vs $415.52 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $20.92 | ↓ -91% |
| Aetna | Medicare | $92.75 | ↓ -58% |
| Aetna | Neighborhood Network | $93.49 | ↓ -58% |
| Aetna | Home Depot Employer Group | $101.65 | ↓ -54% |
| Aetna | NBR ASO/FI | $103.88 | ↓ -53% |
| Cigna | New Business ASO | $103.88 | ↓ -53% |
| UPMC Health Plan | Commercial | $117.16 | ↓ -47% |
| Aetna | EBR FI | $140.98 | ↓ -37% |
| Aetna | EBR ASO | $148.40 | ↓ -33% |
| Cigna | Commercial | $148.40 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $185.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $204.05 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $207.76 | ↓ -7% |
| Highmark BCBS of PA | Managed Care - Social Mission | $207.76 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Indemnity | $211.47 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $211.47 | ↓ -5% |
| Coventry/First Health | Commercial | $259.70 | ↑ +17% |
| Private Health Care Systems | PPO | $296.80 | ↑ +33% |
| SelectCare | Commercial | $296.80 | ↑ +33% |
| Humana | Commercial | $315.35 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $415.52 | ↑ +87% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Splint finger 4 prong foam sm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $214.80 | $20.73 – $322.20 |
| UPMC Passavant-McCandless | Pittsburgh | $607.80 | $20.92 – $138.55 |
| UPMC Presbyterian | Pittsburgh | $4,609.20 | $0.90 – $154.37 |
| UPMC Williamsport | Williamsport | $2.40 | $0.81 – $2.70 |