Aspirate pleura without imaging 32554 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,845.00
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.
$3,075.00
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.
$298.91 with Highmark BCBS of PA vs $2,829.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $298.91 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $551.66 | ↓ -70% |
| Aetna | CHIP/Medicaid | $553.50 | ↓ -70% |
| UPMC Health Plan | Partners/Select | $604.65 | ↓ -67% |
| Aetna of PA | Medicare | $618.91 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $636.54 | ↓ -65% |
| United Healthcare | Medicare | $636.60 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $636.60 | ↓ -65% |
| Aetna | Medicare | $648.38 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $747.60 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $864.77 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,002.63 | ↓ -46% |
| Aetna | Neighborhood Network | $1,107.00 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $1,158.09 | ↓ -37% |
| Aetna | EBR FI | $1,199.25 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,205.40 | ↓ -35% |
| Aetna | EBR ASO | $1,230.00 | ↓ -33% |
| Cigna | Commercial | $1,230.00 | ↓ -33% |
| Cigna | New Business ASO | $1,230.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,230.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $1,326.70 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,342.75 | ↓ -27% |
| UPMC Health Plan | CHIP | $1,461.32 | ↓ -21% |
| InterGroup | PPO | $1,537.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,691.25 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $1,691.25 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $1,737.14 | ↓ -6% |
| Coventry/First Health | Commercial | $2,152.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $2,460.00 | ↑ +33% |
| Humana | Commercial | $2,613.75 | ↑ +42% |
| Private Health Care Systems | PPO | $2,613.75 | ↑ +42% |
| Multiplan | PPO | $2,829.00 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Aspirate pleura without imaging 32554 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,560.60 | $296.09 – $856.90 |
| UPMC Passavant-McCandless | Pittsburgh | $1,215.00 | $298.91 – $869.30 |
| UPMC Presbyterian | Pittsburgh | $1,401.60 | $298.91 – $996.40 |
| UPMC St. Margaret | Pittsburgh | $1,212.00 | $298.91 – $747.60 |
| UPMC Altoona | Altoona | $1,823.40 | $296.09 – $2,431.20 |
| UPMC Bedford | Everett | $1,632.60 | $212.67 – $2,448.90 |
| UPMC Carlisle | Carlisle | $1,861.20 | $325.29 – $2,636.70 |
| UPMC Cole | Coudersport | $810.60 | $63.76 – $771.51 |