Biospy of bladder at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$114.60
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.
$191.00
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.
$18.77 with Highmark BCBS of PA vs $255.06 with Aetna — 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 | $18.77 | ↓ -84% |
| Aetna | CHIP/Medicaid | $34.38 | ↓ -70% |
| UPMC Health Plan | Commercial | $43.11 | ↓ -62% |
| UPMC Health Plan | CHIP | $47.49 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $54.29 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $62.94 | ↓ -45% |
| Aetna | Neighborhood Network | $68.76 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $72.70 | ↓ -37% |
| Aetna | EBR FI | $74.49 | ↓ -35% |
| Aetna | Home Depot Employer Group | $74.87 | ↓ -35% |
| Cigna | New Business ASO | $76.40 | ↓ -33% |
| Cigna | Commercial | $76.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $76.40 | ↓ -33% |
| Aetna | EBR ASO | $76.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $84.30 | ↓ -26% |
| InterGroup | PPO | $95.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $105.05 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $105.05 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $109.06 | ↓ -5% |
| Coventry/First Health | Commercial | $133.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $152.80 | ↑ +33% |
| Humana | Commercial | $162.35 | ↑ +42% |
| Private Health Care Systems | PPO | $162.35 | ↑ +42% |
| Multiplan | PPO | $175.72 | ↑ +53% |
| UPMC Health Plan | Managed Medicare | $217.01 | ↑ +89% |
| UPMC Health Plan | Partners/Select | $237.85 | ↑ +108% |
| Aetna of PA | Medicare | $243.46 | ↑ +112% |
| Highmark Wholecare (prev Gateway) | Medicare | $250.40 | ↑ +118% |
| AmeriHealth Caritas | Medicare | $250.42 | ↑ +119% |
| United Healthcare | Medicare | $250.42 | ↑ +119% |
| Aetna | Medicare | $255.06 | ↑ +123% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Biospy of bladder at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $106.80 | $18.77 – $255.06 |
| UPMC Presbyterian | Pittsburgh | $141.00 | $18.77 – $255.06 |
| UPMC St. Margaret | Pittsburgh | $300.00 | $18.77 – $255.06 |
| UPMC Mercy | Pittsburgh | not published | $18.59 – $255.06 |
| UPMC Carlisle | Carlisle | $2,136.60 | $47.49 – $3,026.85 |
| UPMC Community Osteopathic | Harrisburg | $2,136.60 | $47.49 – $3,026.85 |
| UPMC Northwest | Seneca | $111.60 | $34.22 – $250.42 |
| UPMC Hanover | Hanover | $2,136.60 | $47.49 – $371.74 |