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St evaluation swallow function at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$490.80
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.
$818.00
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.
$42.79 with UPMC Health Plan vs $1,576.03 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $42.79 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $42.79 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $57.69 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $60.73 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $66.29 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $75.51 | ↓ -85% |
| Aetna | Medicare | $204.50 | ↓ -58% |
| Aetna | Neighborhood Network | $206.14 | ↓ -58% |
| Aetna | Home Depot Employer Group | $224.13 | ↓ -54% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $225.26 | ↓ -54% |
| Aetna | NBR ASO/FI | $229.04 | ↓ -53% |
| Cigna | New Business ASO | $229.04 | ↓ -53% |
| UPMC Health Plan | Commercial | $273.63 | ↓ -44% |
| Aetna | EBR FI | $310.84 | ↓ -37% |
| Aetna | EBR ASO | $327.20 | ↓ -33% |
| Cigna | Commercial | $327.20 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $409.00 | ↓ -17% |
| Coventry/First Health | Commercial | $572.60 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $588.38 | ↑ +20% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $651.96 | ↑ +33% |
| Private Health Care Systems | PPO | $654.40 | ↑ +33% |
| SelectCare | Commercial | $654.40 | ↑ +33% |
| Humana | Commercial | $695.30 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $788.01 | ↑ +61% |
| Highmark BCBS of PA | Commercial - Indemnity | $873.16 | ↑ +78% |
| Highmark BCBS of PA | UPMC Emergent | $1,576.03 | ↑ +221% |
Visitor-reported prices
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St evaluation swallow function at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $416.40 | $42.79 – $624.60 |
| UPMC Passavant-McCandless | Pittsburgh | $522.00 | $42.79 – $739.50 |
| UPMC Presbyterian | Pittsburgh | $453.00 | $42.79 – $641.75 |
| UPMC Muncy | Muncy | $249.60 | $42.79 – $332.80 |
| UPMC Northwest | Seneca | $463.80 | $42.79 – $657.05 |
| UPMC Somerset | Somerset | $532.80 | $42.79 – $666.00 |
| UPMC Wellsboro | Wellsboro | $301.60 | $42.79 – $339.30 |
| UPMC Williamsport | Williamsport | $249.60 | $42.79 – $332.80 |