Surgical trays at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$294.60
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.
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What you pay up front if you don't use insurance.
$491.00
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.
$70.43 with UPMC Health Plan vs $549.92 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 | Commercial | $70.43 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $83.84 | ↓ -72% |
| Aetna | Medicare | $122.75 | ↓ -58% |
| Aetna | Neighborhood Network | $123.73 | ↓ -58% |
| Aetna | Home Depot Employer Group | $134.53 | ↓ -54% |
| Cigna | New Business ASO | $137.48 | ↓ -53% |
| Aetna | NBR ASO/FI | $137.48 | ↓ -53% |
| Aetna | EBR FI | $186.58 | ↓ -37% |
| Cigna | Commercial | $196.40 | ↓ -33% |
| Aetna | EBR ASO | $196.40 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $245.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $270.05 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $274.96 | ↓ -7% |
| Highmark BCBS of PA | Managed Care - Social Mission | $274.96 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Indemnity | $279.87 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $279.87 | ↓ -5% |
| Coventry/First Health | Commercial | $343.70 | ↑ +17% |
| SelectCare | Commercial | $392.80 | ↑ +33% |
| Private Health Care Systems | PPO | $392.80 | ↑ +33% |
| Humana | Commercial | $417.35 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $549.92 | ↑ +87% |
Visitor-reported prices
Comments
Surgical trays at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $72.00 | $14.76 – $83.84 |
| UPMC Passavant-McCandless | Pittsburgh | $72.00 | $83.29 – $97.49 |
| UPMC Presbyterian | Pittsburgh | $674.40 | $83.84 – $97.49 |
| UPMC Altoona | Altoona | $80.40 | $57.40 – $107.20 |
| UPMC Horizon-Greenville | Greenville | $350.40 | $57.40 – $83.84 |
| UPMC Jameson | New Castle | $393.60 | $13.42 – $83.84 |
| UPMC Kane | Kane | $70.80 | $42.27 – $92.62 |
| UPMC Williamsport | Williamsport | $36.60 | $83.84 – $92.62 |