healthcosts.net
Tube trach fen sz 6 uncuffed at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$76.20
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.
$127.00
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.
$31.75 with Aetna vs $687.17 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 |
|---|---|---|---|
| Aetna | Medicare | $31.75 | ↓ -58% |
| Aetna | Neighborhood Network | $32.00 | ↓ -58% |
| Aetna | Home Depot Employer Group | $34.80 | ↓ -54% |
| Aetna | NBR ASO/FI | $35.56 | ↓ -53% |
| Cigna | New Business ASO | $35.56 | ↓ -53% |
| Aetna | EBR FI | $48.26 | ↓ -37% |
| Aetna | EBR ASO | $50.80 | ↓ -33% |
| Cigna | Commercial | $50.80 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $63.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $69.85 | ↓ -8% |
| Coventry/First Health | Commercial | $88.90 | ↑ +17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $89.10 | ↑ +17% |
| UPMC Work Partners | Workers Comp | $90.17 | ↑ +18% |
| Private Health Care Systems | PPO | $101.60 | ↑ +33% |
| SelectCare | Commercial | $101.60 | ↑ +33% |
| Humana | Commercial | $107.95 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $256.56 | ↑ +237% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $257.87 | ↑ +238% |
| UPMC Health Plan | Commercial | $325.92 | ↑ +328% |
| Highmark BCBS of PA | Managed Care | $343.58 | ↑ +351% |
| Highmark BCBS of PA | Commercial - Indemnity | $345.36 | ↑ +353% |
| Highmark BCBS of PA | UPMC Emergent | $687.17 | ↑ +802% |
Visitor-reported prices
Comments
Tube trach fen sz 6 uncuffed at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,047.60 | $45.25 – $209.74 |
| UPMC Passavant-McCandless | Pittsburgh | $198.60 | $78.00 – $385.43 |
| UPMC Presbyterian | Pittsburgh | $3,744.60 | $13.32 – $429.44 |