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Treatment radiation delivery level 2 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$659.40
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.
$1,099.00
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.
$35.75 with UPMC Health Plan vs $934.15 with Humana — 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 | $35.75 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $35.75 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $48.20 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $50.74 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $55.39 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $90.26 | ↓ -86% |
| UPMC Health Plan | Commercial | $137.10 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $192.08 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $200.96 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $216.47 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $261.24 | ↓ -60% |
| Aetna of PA | Medicare | $263.26 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $269.14 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $270.75 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $270.78 | ↓ -59% |
| Aetna | Medicare | $275.79 | ↓ -58% |
| Aetna | Neighborhood Network | $276.95 | ↓ -58% |
| Aetna | Home Depot Employer Group | $301.13 | ↓ -54% |
| Aetna | NBR ASO/FI | $307.72 | ↓ -53% |
| Cigna | New Business ASO | $307.72 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity | $349.87 | ↓ -47% |
| Aetna | EBR FI | $417.62 | ↓ -37% |
| Aetna | EBR ASO | $439.60 | ↓ -33% |
| Cigna | Commercial | $439.60 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $538.29 | ↓ -18% |
| Coventry/First Health | Commercial | $769.30 | ↑ +17% |
| Private Health Care Systems | PPO | $879.20 | ↑ +33% |
| SelectCare | Commercial | $879.20 | ↑ +33% |
| Humana | Commercial | $934.15 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Treatment radiation delivery level 2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,557.60 | $35.75 – $2,206.60 |
| UPMC Presbyterian | Pittsburgh | $1,503.60 | $35.75 – $2,130.10 |
| UPMC Somerset | Somerset | $834.00 | $35.75 – $1,042.50 |
| UPMC Williamsport | Williamsport | $787.80 | $35.75 – $1,050.40 |