Angioplasty/iliac/init ves/unilat 37220 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$23,329.80
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.
$38,883.00
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.
$4,666.70 with UPMC Work Partners vs $35,772.36 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $4,666.70 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $5,087.29 | ↓ -78% |
| UPMC Health Plan | Partners/Select | $5,575.96 | ↓ -76% |
| Aetna of PA | Medicare | $5,707.51 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5,738.77 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,870.03 | ↓ -75% |
| United Healthcare | Medicare | $5,870.58 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $5,870.58 | ↓ -75% |
| Aetna | Medicare | $5,979.29 | ↓ -74% |
| Aetna | CHIP/Medicaid | $6,998.94 | ↓ -70% |
| UPMC Health Plan | Commercial | $7,054.61 | ↓ -70% |
| UPMC Health Plan | CHIP | $11,394.15 | ↓ -51% |
| Aetna | Neighborhood Network | $13,997.88 | ↓ -40% |
| Aetna | EBR FI | $15,164.37 | ↓ -35% |
| Aetna | Home Depot Employer Group | $15,242.14 | ↓ -35% |
| Aetna | NBR ASO/FI | $15,553.20 | ↓ -33% |
| Cigna | Commercial | $15,553.20 | ↓ -33% |
| Cigna | New Business ASO | $15,553.20 | ↓ -33% |
| Aetna | EBR ASO | $15,553.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $16,602.82 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $19,249.72 | ↓ -17% |
| InterGroup | PPO | $19,441.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $21,385.65 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $21,385.65 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $22,234.25 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Indemnity | $25,779.66 | ↑ +11% |
| Coventry/First Health | Commercial | $27,218.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $31,106.40 | ↑ +33% |
| Humana | Commercial | $33,050.55 | ↑ +42% |
| Private Health Care Systems | PPO | $33,050.55 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $33,351.53 | ↑ +43% |
| Multiplan | PPO | $35,772.36 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Angioplasty/iliac/init ves/unilat 37220 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $20,443.20 | $385.15 – $5,684.64 |
| UPMC Passavant-McCandless | Pittsburgh | $31,723.80 | $4,666.70 – $5,979.29 |
| UPMC Presbyterian | Pittsburgh | $25,002.60 | $385.15 – $6,120.39 |
| UPMC St. Margaret | Pittsburgh | $14,970.00 | $4,666.70 – $5,979.29 |
| UPMC Altoona | Altoona | $13,437.00 | $4,666.70 – $17,916.00 |
| UPMC Carlisle | Carlisle | $16,320.60 | $1,016.56 – $23,120.85 |
| UPMC Community Osteopathic | Harrisburg | $16,320.60 | $1,016.56 – $23,120.85 |
| UPMC East | Monroeville | $23,799.00 | $4,666.70 – $31,732.00 |