Abd/low ext cath 2nd at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$6,723.60
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.
$11,206.00
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.
$294.99 with Aetna vs $10,309.52 with Multiplan — 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 | $294.99 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $795.09 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,119.11 | ↓ -83% |
| Aetna | CHIP/Medicaid | $2,017.08 | ↓ -70% |
| UPMC Health Plan | Commercial | $3,190.58 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,237.69 | ↓ -52% |
| UPMC Health Plan | CHIP | $3,514.34 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,753.85 | ↓ -44% |
| Aetna | Neighborhood Network | $4,034.16 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $4,335.86 | ↓ -36% |
| Aetna | EBR FI | $4,370.34 | ↓ -35% |
| Aetna | Home Depot Employer Group | $4,392.75 | ↓ -35% |
| Cigna | Commercial | $4,482.40 | ↓ -33% |
| Aetna | EBR ASO | $4,482.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $4,482.40 | ↓ -33% |
| Cigna | New Business ASO | $4,482.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,027.24 | ↓ -25% |
| InterGroup | PPO | $5,603.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,603.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $6,163.30 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,163.30 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $6,503.82 | ↓ -3% |
| Coventry/First Health | Commercial | $7,844.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $8,964.80 | ↑ +33% |
| Humana | Commercial | $9,525.10 | ↑ +42% |
| Private Health Care Systems | PPO | $9,525.10 | ↑ +42% |
| Multiplan | PPO | $10,309.52 | ↑ +53% |
Visitor-reported prices
Comments
Abd/low ext cath 2nd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $4,366.20 | $804.27 – $1,942.67 |
| UPMC Passavant-McCandless | Pittsburgh | $6,016.80 | $795.09 – $1,958.43 |
| UPMC Presbyterian | Pittsburgh | $7,748.40 | $804.27 – $1,991.50 |
| UPMC St. Margaret | Pittsburgh | $3,433.80 | $795.09 – $2,030.34 |
| UPMC Altoona | Altoona | $2,401.80 | $748.03 – $3,514.34 |
| UPMC Carlisle | Carlisle | $4,321.20 | $782.82 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $4,321.20 | $792.10 – $6,121.70 |
| UPMC East | Monroeville | $4,642.20 | $795.09 – $6,189.60 |