Angioplasty fem/pop unilat 37224 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$21,640.20
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.
?
What you pay up front if you don't use insurance.
$36,067.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5,087.29 with UPMC Health Plan vs $40,045.54 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Medicare | $5,087.29 | ↓ -76% |
| UPMC Health Plan | Partners/Select | $5,575.96 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $5,603.34 | ↓ -74% |
| Aetna of PA | Medicare | $5,707.51 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,870.03 | ↓ -73% |
| United Healthcare | Medicare | $5,870.58 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $5,870.58 | ↓ -73% |
| Aetna | Medicare | $5,979.29 | ↓ -72% |
| Aetna | CHIP/Medicaid | $6,492.06 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6,890.60 | ↓ -68% |
| UPMC Health Plan | Commercial | $11,056.65 | ↓ -49% |
| UPMC Health Plan | CHIP | $12,178.60 | ↓ -44% |
| Aetna | Neighborhood Network | $12,984.12 | ↓ -40% |
| Aetna | EBR FI | $14,066.13 | ↓ -35% |
| Aetna | Home Depot Employer Group | $14,138.26 | ↓ -35% |
| Aetna | EBR ASO | $14,426.80 | ↓ -33% |
| Cigna | New Business ASO | $14,426.80 | ↓ -33% |
| Cigna | Commercial | $14,426.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $14,426.80 | ↓ -33% |
| InterGroup | PPO | $18,033.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $19,836.85 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $19,836.85 | ↓ -8% |
| Highmark BCBS of PA | Managed Care - Social Mission | $19,935.19 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $23,113.35 | ↑ +7% |
| Coventry/First Health | Commercial | $25,246.90 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $26,696.91 | ↑ +23% |
| Preferred Healthcare System | PPO | $28,853.60 | ↑ +33% |
| Humana | Commercial | $30,656.95 | ↑ +42% |
| Private Health Care Systems | PPO | $30,656.95 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $30,953.91 | ↑ +43% |
| Multiplan | PPO | $33,181.64 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $40,045.54 | ↑ +85% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Angioplasty fem/pop unilat 37224 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $21,886.80 | $424.06 – $6,825.61 |
| UPMC Passavant-McCandless | Pittsburgh | $30,797.40 | $5,051.41 – $6,890.60 |
| UPMC Presbyterian | Pittsburgh | $28,468.80 | $424.06 – $7,349.91 |
| UPMC St. Margaret | Pittsburgh | $28,228.20 | $4,693.20 – $6,890.60 |
| UPMC Altoona | Altoona | $15,494.40 | $5,543.35 – $20,659.20 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $28,574.40 | $5,450.40 – $38,099.20 |