healthcosts.net
Ultrasound pregnant uterus < 14 weeks each additional gestation at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$150.60
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.
$251.00
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.
$43.05 with Highmark BCBS of PA vs $256.72 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 | $43.05 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $60.46 | ↓ -60% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $60.46 | ↓ -60% |
| Aetna | Medicare | $62.75 | ↓ -58% |
| Aetna | Neighborhood Network | $63.25 | ↓ -58% |
| Aetna | Home Depot Employer Group | $68.77 | ↓ -54% |
| Aetna | NBR ASO/FI | $70.28 | ↓ -53% |
| Cigna | New Business ASO | $70.28 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicaid | $81.51 | ↓ -46% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $85.80 | ↓ -43% |
| PA Health & Wellness | PA Medicaid HMO | $93.66 | ↓ -38% |
| Aetna | EBR FI | $95.38 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $95.84 | ↓ -36% |
| Aetna | EBR ASO | $100.40 | ↓ -33% |
| Cigna | Commercial | $100.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $124.59 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $125.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $128.36 | ↓ -15% |
| UPMC Work Partners | Workers Comp | $133.29 | ↓ -11% |
| UPMC Health Plan | Commercial | $145.12 | ↓ -4% |
| Highmark BCBS of PA | Commercial - Indemnity | $166.86 | ↑ +11% |
| Coventry/First Health | Commercial | $175.70 | ↑ +17% |
| Private Health Care Systems | PPO | $200.80 | ↑ +33% |
| SelectCare | Commercial | $200.80 | ↑ +33% |
| Humana | Commercial | $213.35 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $256.72 | ↑ +70% |
Visitor-reported prices
Comments
Ultrasound pregnant uterus < 14 weeks each additional gestation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $169.20 | $43.05 – $239.70 |
| UPMC Mercy | Pittsburgh | $824.40 | $42.64 – $1,236.60 |
| UPMC Presbyterian | Pittsburgh | $1,168.20 | $26.38 – $1,654.95 |
| UPMC Muncy | Muncy | $309.00 | $28.13 – $412.00 |
| UPMC Northwest | Seneca | $610.80 | $60.46 – $865.30 |
| UPMC Somerset | Somerset | $304.80 | $25.28 – $381.00 |
| UPMC Wellsboro | Wellsboro | $373.60 | $28.13 – $420.30 |
| UPMC Williamsport | Williamsport | $309.00 | $28.13 – $412.00 |