Balloon dilate urtrl strix at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$6,572.40
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.
$10,954.00
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.
$175.59 with Aetna vs $10,077.68 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 |
|---|---|---|---|
| Aetna | Medicare | $175.59 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $517.46 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $981.76 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,497.07 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,735.74 | ↓ -74% |
| Aetna | CHIP/Medicaid | $1,971.72 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $2,004.86 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,324.55 | ↓ -65% |
| Highmark BCBS of PA | UPMC Emergent | $3,007.30 | ↓ -54% |
| UPMC Health Plan | Commercial | $3,038.51 | ↓ -54% |
| UPMC Health Plan | CHIP | $3,346.84 | ↓ -49% |
| Aetna | Neighborhood Network | $3,943.44 | ↓ -40% |
| Aetna | EBR FI | $4,272.06 | ↓ -35% |
| Aetna | Home Depot Employer Group | $4,293.97 | ↓ -35% |
| Cigna | New Business ASO | $4,381.60 | ↓ -33% |
| Aetna | EBR ASO | $4,381.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $4,381.60 | ↓ -33% |
| Cigna | Commercial | $4,381.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,477.00 | ↓ -17% |
| InterGroup | PPO | $5,477.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,024.70 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $6,024.70 | ↓ -8% |
| Coventry/First Health | Commercial | $7,667.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $8,763.20 | ↑ +33% |
| Private Health Care Systems | PPO | $9,310.90 | ↑ +42% |
| Humana | Commercial | $9,310.90 | ↑ +42% |
| Multiplan | PPO | $10,077.68 | ↑ +53% |
Visitor-reported prices
Comments
Balloon dilate urtrl strix at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $6,571.80 | $512.58 – $1,850.09 |
| UPMC Passavant-McCandless | Pittsburgh | $8,620.20 | $517.46 – $1,865.09 |
| UPMC Presbyterian | Pittsburgh | $10,911.00 | $183.38 – $1,896.58 |
| UPMC St. Margaret | Pittsburgh | $8,132.40 | $517.46 – $1,933.58 |
| UPMC Carlisle | Carlisle | $3,457.20 | $200.19 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $3,457.20 | $200.19 – $4,897.70 |
| UPMC Northwest | Seneca | $10,138.20 | $981.76 – $2,411.88 |
| UPMC Hanover | Hanover | $3,457.20 | $200.19 – $3,346.84 |