UPMC · Pittsburgh, PA
34
In-network payers
181
Disclosed rate categories
250
Beds
5
Care quality
Upmc St Margaret is a 250-bed voluntary non-profit - private hospital in Pittsburgh, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 181 disclosed rate categories.
CCN (Medicare provider number)
390102
NPI
1790795359
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
250
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc St Margaret most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$1,801 - $3,027
from 4 insurers · median $2,537
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$9,174
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$13,969
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$42,823
negotiated rate
75 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$45,405
negotiated rate
32 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 70450
$724 - $1,001
from 4 insurers · median $791
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$4,348 - $5,958
from 2 insurers · median $5,153
282 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74176
$1,471 - $2,113
from 4 insurers · median $1,668
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$2,653 - $3,729
from 4 insurers · median $3,052
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$884 - $1,237
from 4 insurers · median $1,166
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,703 - $8,710
from 2 insurers · median $6,707
51 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,899 - $2,425
from 4 insurers · median $2,284
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$818 - $1,764
from 4 insurers · median $1,469
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,098 - $2,551
from 4 insurers · median $2,100
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,945 - $2,799
from 4 insurers · median $2,417
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$3,103 - $7,843
from 2 insurers · median $5,473
83 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
X-ray and bone density
CPT 71046
$37 - $233
from 4 insurers · median $207
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$2,653 - $3,341
from 4 insurers · median $2,806
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$9,174
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
MRI imaging
CPT 72148
$1,676 - $2,118
from 4 insurers · median $1,801
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,603 - $2,749
from 4 insurers · median $2,305
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$94 - $325
from 4 insurers · median $151
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$1,501 - $2,118
from 4 insurers · median $1,674
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$338 - $959
from 4 insurers · median $598
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 16 | 858% | 14 | 1 |
| Insurer B* | 16 | 682% | 9 | 7 |
| Insurer C* | 19 | 375% | 19 | 0 |
| Insurer D* | 24 | 235% | 14 | 7 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc St Margaret.
815 Freeport Road, Pittsburgh, PA 15215
(412) 784-4000
The nearest hospitals of similar type and size. Their rates are compared with Upmc St Margaret for the same insurers and services above.
West Penn Hospital
▼ Rates typically 29% lower than Upmc St Margaret (21 services)
Forbes Hospital
▼ Rates typically 29% lower than Upmc St Margaret (21 services)
Jefferson Hospital
▼ Rates typically 53% lower than Upmc St Margaret (21 services)
St. Clair Hospital
▼ Rates typically 32% lower than Upmc St Margaret (21 services)
Allegheny Valley Hospital
▼ Rates typically 49% lower than Upmc St Margaret (20 services)
Ahn Wexford Hospital
▼ Rates typically 29% lower than Upmc St Margaret (21 services)
Upmc Mercy
Upmc Magee-Womens Hospital
Upmc Shadyside
Allegheny General Hospital
About Upmc St Margaret's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc St Margaret range from $2,653 to $3,729 across 4 insurers. Cigna's rate is $3,341. The median at nearby comparable hospitals is $693. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc St Margaret range from $1,801 to $3,027 across 4 insurers. Aetna's rate is $2,671. The median at nearby comparable hospitals is $626. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc St Margaret range from $1,098 to $2,551 across 4 insurers. Aetna's rate is $2,174. The median at nearby comparable hospitals is $1,767. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Upmc St Margaret range from $9,174 to $9,174 across 1 insurers. Blue Cross Blue Shield's rate is $9,174. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc St Margaret range from $94 to $325 across 4 insurers. Cigna's rate is $118. The median at nearby comparable hospitals is $139. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upmc St Margaret range from $42,823 to $42,823 across 1 insurers. Blue Cross Blue Shield's rate is $42,823. The median at nearby comparable hospitals is $24,951. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc St Margaret has 250 beds. Facility type: Short Term Acute Care Hospital.
Upmc St Margaret is located at 815 Freeport Road, Pittsburgh, PA 15215. Its main phone number is (412) 784-4000.
Upmc St Margaret's CMS Certification Number (CCN), also called its Medicare provider number, is 390102.
The National Provider Identifier (NPI) on file for Upmc St Margaret is 1790795359.
Upmc St Margaret is affiliated with UPMC.
Upmc St Margaret lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
181 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers