Streptozocin injection at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
not published by hospital
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.
$783.53
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.
$133.72 with Highmark BCBS of PA vs $1,243.79 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 | $133.72 | — |
| Aetna | Medicare | $195.88 | — |
| Aetna | Neighborhood Network | $197.45 | — |
| UPMC Work Partners | Workers Comp | $202.39 | — |
| Aetna | Home Depot Employer Group | $214.69 | — |
| Cigna | New Business ASO | $219.39 | — |
| Aetna | NBR ASO/FI | $219.39 | — |
| Aetna | EBR FI | $297.74 | — |
| Cigna | Commercial | $313.41 | — |
| Aetna | EBR ASO | $313.41 | — |
| UPMC Health Plan | Commercial | $384.32 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $391.76 | — |
| PA Health & Wellness | PA Medicaid HMO | $430.94 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $464.38 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $466.76 | — |
| Coventry/First Health | Commercial | $548.47 | — |
| Highmark BCBS of PA | Managed Care | $621.90 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $625.12 | — |
| Private Health Care Systems | PPO | $626.82 | — |
| SelectCare | Commercial | $626.82 | — |
| Humana | Commercial | $666.00 | — |
| Highmark BCBS of PA | UPMC Emergent | $1,243.79 | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Streptozocin injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $995.40 | $133.72 – $411.28 |
| UPMC Passavant-McCandless | Pittsburgh | $1,416.00 | $133.72 – $133.72 |
| UPMC Presbyterian | Pittsburgh | $2,809.80 | $133.72 – $133.72 |
| UPMC Mercy | Pittsburgh | not published | $132.46 – $132.46 |
| UPMC Carlisle | Carlisle | $209.40 | $47.81 – $502.27 |
| UPMC Community Osteopathic | Harrisburg | $209.40 | $69.80 – $296.65 |
| UPMC Hamot | Erie | $1,356.60 | $132.46 – $1,007.82 |
| UPMC Hanover | Hanover | $209.40 | $502.27 – $2,599.60 |