healthcosts.net
Tc-99m mertiatide at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$1,909.80
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.
?
What you pay up front if you don't use insurance.
$3,183.00
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.
$795.75 with Aetna vs $6,447.78 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 |
|---|---|---|---|
| Aetna | Medicare | $795.75 | ↓ -58% |
| Aetna | Neighborhood Network | $802.12 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $836.00 | ↓ -56% |
| Aetna | Home Depot Employer Group | $872.14 | ↓ -54% |
| Aetna | NBR ASO/FI | $891.24 | ↓ -53% |
| Cigna | New Business ASO | $891.24 | ↓ -53% |
| Aetna | EBR FI | $1,209.54 | ↓ -37% |
| Aetna | EBR ASO | $1,273.20 | ↓ -33% |
| Cigna | Commercial | $1,273.20 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,591.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $1,750.65 | ↓ -8% |
| UPMC Health Plan | Commercial | $1,779.19 | ↓ -7% |
| Coventry/First Health | Commercial | $2,228.10 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,407.31 | ↑ +26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,419.65 | ↑ +27% |
| Private Health Care Systems | PPO | $2,546.40 | ↑ +33% |
| SelectCare | Commercial | $2,546.40 | ↑ +33% |
| Humana | Commercial | $2,705.55 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $3,223.89 | ↑ +69% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,240.60 | ↑ +70% |
| Highmark BCBS of PA | UPMC Emergent | $6,447.78 | ↑ +238% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m mertiatide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,074.20 | $828.11 – $3,111.30 |
| UPMC Passavant-McCandless | Pittsburgh | $1,978.20 | $824.25 – $2,802.45 |
| UPMC Presbyterian | Pittsburgh | $2,142.00 | $642.60 – $3,034.50 |
| UPMC Muncy | Muncy | $709.20 | $177.30 – $1,063.80 |
| UPMC Somerset | Somerset | $1,284.60 | $819.74 – $1,605.75 |
| UPMC Wellsboro | Wellsboro | $857.60 | $192.96 – $964.80 |
| UPMC Williamsport | Williamsport | $709.20 | $319.14 – $1,063.80 |