Bartholin gland cyst/marsupializat 56440 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
not published by hospital
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.
not published by hospital
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.
$179.30 with United Healthcare Community Plan for Families vs $4,281.72 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $179.30 | — |
| UPMC Health Plan | Managed Medicaid | $179.30 | — |
| Aetna | CHIP/Medicaid | $211.90 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $241.73 | — |
| Geisinger | Medicaid/CHIP | $253.74 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $257.93 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $277.78 | — |
| UPMC Work Partners | Workers Comp | $584.88 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $736.75 | — |
| UPMC Health Plan | Commercial | $1,434.80 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,131.49 | — |
| UPMC Health Plan | CHIP | $2,317.39 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,471.31 | — |
| UPMC Health Plan | Managed Medicare | $2,836.99 | — |
| Highmark BCBS of PA | Managed Care | $2,854.47 | — |
| UPMC Health Plan | Partners/Select | $3,109.51 | — |
| Aetna of PA | Medicare | $3,182.86 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $3,273.50 | — |
| United Healthcare | Medicare | $3,273.80 | — |
| AmeriHealth Caritas | Medicare | $3,273.80 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $3,309.63 | — |
| Aetna | Medicare | $3,334.43 | — |
| Highmark BCBS of PA | UPMC Emergent | $4,281.72 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Bartholin gland cyst/marsupializat 56440 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | not published | $179.30 – $3,334.43 |
| UPMC Wellsboro | Wellsboro | $5,744.80 | $179.30 – $957.44 |
| UPMC Altoona | Altoona | not published | $163.00 – $3,273.80 |
| UPMC Community Osteopathic | Harrisburg | not published | $220.05 – $5,805.45 |
| UPMC Hamot | Erie | not published | $179.30 – $4,408.81 |
| UPMC Hanover | Hanover | not published | $207.01 – $4,859.86 |
| WellSpan Waynesboro Hospital | Waynesboro | not published | $785.40 – $11,525.83 |
| WellSpan Gettysburg Hospital | Gettysburg | not published | $935.00 – $1,101.92 |