Abdominal paracentesis w/image guidance at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,786.40
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.
$4,644.00
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.
$92.76 with UPMC Health Plan vs $4,913.15 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $92.76 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $92.76 | ↓ -97% |
| Aetna | CHIP/Medicaid | $109.63 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $125.06 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $131.28 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $133.44 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $143.72 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $427.09 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $836.55 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $845.40 | ↓ -70% |
| UPMC Health Plan | Partners/Select | $916.91 | ↓ -67% |
| Aetna of PA | Medicare | $938.54 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $965.27 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $965.36 | ↓ -65% |
| United Healthcare | Medicare | $965.36 | ↓ -65% |
| Aetna | Medicare | $983.24 | ↓ -65% |
| Aetna | Neighborhood Network | $1,671.84 | ↓ -40% |
| Aetna | EBR FI | $1,811.16 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,820.45 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,857.60 | ↓ -33% |
| Aetna | EBR ASO | $1,857.60 | ↓ -33% |
| Cigna | Commercial | $1,857.60 | ↓ -33% |
| Cigna | New Business ASO | $1,857.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $1,920.59 | ↓ -31% |
| InterGroup | PPO | $2,322.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,445.83 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,835.75 | ↑ +2% |
| UPMC Health Plan | CHIP | $3,102.01 | ↑ +11% |
| Coventry/First Health | Commercial | $3,250.80 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $3,275.42 | ↑ +18% |
| Preferred Healthcare System | PPO | $3,715.20 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,797.70 | ↑ +36% |
| Humana | Commercial | $3,947.40 | ↑ +42% |
| Private Health Care Systems | PPO | $3,947.40 | ↑ +42% |
| Multiplan | PPO | $4,272.48 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $4,913.15 | ↑ +76% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal paracentesis w/image guidance at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,763.20 | $92.76 – $983.24 |
| UPMC Passavant-McCandless | Pittsburgh | $4,788.00 | $92.76 – $983.24 |
| UPMC Presbyterian | Pittsburgh | $8,546.40 | $92.76 – $983.24 |
| UPMC St. Margaret | Pittsburgh | $2,562.00 | $92.76 – $983.24 |
| UPMC Altoona | Altoona | $2,179.80 | $84.33 – $2,906.40 |
| UPMC Bedford | Everett | $2,008.20 | $88.55 – $3,012.30 |
| UPMC Carlisle | Carlisle | $1,225.20 | $107.10 – $1,735.70 |
| UPMC Cole | Coudersport | $1,693.20 | $57.93 – $1,041.88 |