Aspirate/inj ganglion cyst 20612 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$474.60
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.
$791.00
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.
$42.76 with UPMC Health Plan vs $1,368.75 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 | $42.76 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $42.76 | ↓ -91% |
| Aetna | CHIP/Medicaid | $50.53 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $57.64 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $60.51 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $61.51 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $66.24 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $101.18 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $103.78 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $263.39 | ↓ -45% |
| Aetna | Neighborhood Network | $284.76 | ↓ -40% |
| UPMC Health Plan | Partners/Select | $288.69 | ↓ -39% |
| Highmark BCBS of PA | Managed Care - Social Mission | $292.73 | ↓ -38% |
| Aetna of PA | Medicare | $295.50 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $303.92 | ↓ -36% |
| AmeriHealth Caritas | Medicare | $303.94 | ↓ -36% |
| United Healthcare | Medicare | $303.94 | ↓ -36% |
| Aetna | EBR FI | $308.49 | ↓ -35% |
| Aetna | Medicare | $309.57 | ↓ -35% |
| Aetna | Home Depot Employer Group | $310.07 | ↓ -35% |
| Cigna | New Business ASO | $316.40 | ↓ -33% |
| Aetna | EBR ASO | $316.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $316.40 | ↓ -33% |
| Cigna | Commercial | $316.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $339.39 | ↓ -28% |
| Highmark BCBS of PA | Managed Care | $392.01 | ↓ -17% |
| InterGroup | PPO | $395.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $454.52 | ↓ -4% |
| Coventry/First Health | Commercial | $553.70 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $588.02 | ↑ +24% |
| Preferred Healthcare System | PPO | $632.80 | ↑ +33% |
| Humana | Commercial | $672.35 | ↑ +42% |
| Private Health Care Systems | PPO | $672.35 | ↑ +42% |
| Multiplan | PPO | $727.72 | ↑ +53% |
| UPMC Health Plan | Commercial | $847.45 | ↑ +79% |
| UPMC Health Plan | CHIP | $1,368.75 | ↑ +188% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Aspirate/inj ganglion cyst 20612 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $761.40 | $42.76 – $931.20 |
| UPMC St. Margaret | Pittsburgh | $561.00 | $42.76 – $309.57 |
| UPMC Bedford | Everett | $640.80 | $40.81 – $961.20 |
| UPMC Carlisle | Carlisle | $401.40 | $49.36 – $1,016.56 |
| UPMC Cole | Coudersport | $215.40 | $14.14 – $103.78 |
| UPMC Community Osteopathic | Harrisburg | $401.40 | $49.36 – $1,368.75 |
| UPMC Hanover | Hanover | $401.40 | $49.36 – $1,016.56 |
| UPMC Horizon-Greenville | Greenville | $449.40 | $42.76 – $303.94 |