Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$199.80
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.
$333.00
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.
$40.76 with UPMC Health Plan vs $1,299.48 with UPMC Health Plan — 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 | $40.76 | ↓ -80% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $40.76 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $48.15 | ↓ -76% |
| Aetna | CHIP/Medicaid | $48.16 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $54.95 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $57.68 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $58.63 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $63.14 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $95.84 | ↓ -52% |
| Aetna | Neighborhood Network | $119.88 | ↓ -40% |
| Aetna | EBR FI | $129.87 | ↓ -35% |
| Aetna | Home Depot Employer Group | $130.54 | ↓ -35% |
| Cigna | New Business ASO | $133.20 | ↓ -33% |
| Aetna | EBR ASO | $133.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $133.20 | ↓ -33% |
| Cigna | Commercial | $133.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $139.31 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $161.51 | ↓ -19% |
| InterGroup | PPO | $166.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $186.56 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Indemnity | $216.30 | ↑ +8% |
| Coventry/First Health | Commercial | $233.10 | ↑ +17% |
| UPMC Health Plan | Managed Medicare | $263.39 | ↑ +32% |
| Preferred Healthcare System | PPO | $266.40 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $279.84 | ↑ +40% |
| Private Health Care Systems | PPO | $283.05 | ↑ +42% |
| Humana | Commercial | $283.05 | ↑ +42% |
| UPMC Health Plan | Partners/Select | $288.69 | ↑ +44% |
| Aetna of PA | Medicare | $295.50 | ↑ +48% |
| Highmark Wholecare (prev Gateway) | Medicare | $303.92 | ↑ +52% |
| United Healthcare | Medicare | $303.94 | ↑ +52% |
| AmeriHealth Caritas | Medicare | $303.94 | ↑ +52% |
| Multiplan | PPO | $306.36 | ↑ +53% |
| Aetna | Medicare | $309.57 | ↑ +55% |
| UPMC Health Plan | Commercial | $1,179.77 | ↑ +490% |
| UPMC Health Plan | CHIP | $1,299.48 | ↑ +550% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $214.80 | $40.76 – $309.57 |
| UPMC Passavant-McCandless | Pittsburgh | $227.40 | $40.76 – $309.57 |
| UPMC Presbyterian | Pittsburgh | $642.60 | $40.76 – $931.20 |
| UPMC St. Margaret | Pittsburgh | $664.20 | $40.76 – $309.57 |
| UPMC Carlisle | Carlisle | $817.20 | $47.05 – $1,157.70 |
| UPMC Community Osteopathic | Harrisburg | $817.20 | $50.02 – $1,299.48 |
| UPMC Hanover | Hanover | $817.20 | $47.05 – $1,016.56 |
| UPMC Lititz | Lititz | $817.20 | $47.05 – $1,016.56 |