Biopsy skin incisional single lesion at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$823.80
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.
?
What you pay up front if you don't use insurance.
$1,373.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$54.13 with UPMC Health Plan vs $1,263.16 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $54.13 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $54.13 | ↓ -93% |
| Aetna | CHIP/Medicaid | $63.97 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $72.98 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $76.61 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $77.87 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $83.86 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $90.33 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $177.50 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $261.35 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $303.01 | ↓ -63% |
| Highmark BCBS of PA | Managed Care | $349.99 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $405.80 | ↓ -51% |
| Aetna | Neighborhood Network | $494.28 | ↓ -40% |
| Highmark BCBS of PA | UPMC Emergent | $524.99 | ↓ -36% |
| Aetna | EBR FI | $535.47 | ↓ -35% |
| Aetna | Home Depot Employer Group | $538.22 | ↓ -35% |
| UPMC Health Plan | Managed Medicare | $546.18 | ↓ -34% |
| Cigna | Commercial | $549.20 | ↓ -33% |
| Cigna | New Business ASO | $549.20 | ↓ -33% |
| Aetna | EBR ASO | $549.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $549.20 | ↓ -33% |
| UPMC Health Plan | Partners/Select | $598.65 | ↓ -27% |
| Aetna of PA | Medicare | $612.77 | ↓ -26% |
| Highmark Wholecare (prev Gateway) | Medicare | $630.22 | ↓ -23% |
| AmeriHealth Caritas | Medicare | $630.28 | ↓ -23% |
| United Healthcare | Medicare | $630.28 | ↓ -23% |
| Aetna | Medicare | $641.95 | ↓ -22% |
| InterGroup | PPO | $686.50 | ↓ -17% |
| UPMC Health Plan | Commercial | $774.11 | ↓ -6% |
| UPMC Health Plan | CHIP | $852.66 | ↑ +4% |
| Coventry/First Health | Commercial | $961.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,098.40 | ↑ +33% |
| Private Health Care Systems | PPO | $1,167.05 | ↑ +42% |
| Humana | Commercial | $1,167.05 | ↑ +42% |
| Multiplan | PPO | $1,263.16 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $639.00 | $54.13 – $641.95 |
| UPMC Passavant-McCandless | Pittsburgh | $873.60 | $54.13 – $641.95 |
| UPMC Presbyterian | Pittsburgh | $1,055.40 | $54.13 – $931.20 |
| UPMC St. Margaret | Pittsburgh | $987.00 | $54.13 – $641.95 |
| UPMC Altoona | Altoona | $613.80 | $49.21 – $818.40 |
| UPMC Bedford | Everett | $588.60 | $51.67 – $882.90 |
| UPMC Carlisle | Carlisle | $1,227.00 | $62.50 – $1,738.25 |
| UPMC Cole | Coudersport | $87.60 | $40.47 – $2,325.85 |