Bladder Catheter Insertion (simple) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$540.60
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.
$901.00
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.
$30.26 with United Healthcare Community Plan for Families vs $1,007.45 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 | $30.26 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $30.26 | ↓ -94% |
| Aetna | CHIP/Medicaid | $35.76 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.80 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $42.82 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $43.53 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $46.88 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $115.01 | ↓ -79% |
| UPMC Health Plan | Commercial | $115.77 | ↓ -79% |
| UPMC Health Plan | Partners/Select | $126.06 | ↓ -77% |
| Aetna of PA | Medicare | $129.03 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.71 | ↓ -75% |
| United Healthcare | Medicare | $132.72 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $132.72 | ↓ -75% |
| Aetna | Medicare | $135.18 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $167.61 | ↓ -69% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $173.35 | ↓ -68% |
| UPMC Health Plan | CHIP | $186.98 | ↓ -65% |
| Aetna | Neighborhood Network | $324.36 | ↓ -40% |
| Aetna | EBR FI | $351.39 | ↓ -35% |
| Aetna | Home Depot Employer Group | $353.19 | ↓ -35% |
| Aetna | NBR ASO/FI | $360.40 | ↓ -33% |
| Cigna | Commercial | $360.40 | ↓ -33% |
| Cigna | New Business ASO | $360.40 | ↓ -33% |
| Aetna | EBR ASO | $360.40 | ↓ -33% |
| InterGroup | PPO | $450.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $501.52 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $581.48 | ↑ +8% |
| Coventry/First Health | Commercial | $630.70 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $671.63 | ↑ +24% |
| Preferred Healthcare System | PPO | $720.80 | ↑ +33% |
| Private Health Care Systems | PPO | $765.85 | ↑ +42% |
| Humana | Commercial | $765.85 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $778.73 | ↑ +44% |
| Multiplan | PPO | $828.92 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $1,007.45 | ↑ +86% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Bladder Catheter Insertion (simple) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $663.60 | $30.26 – $193.07 |
| UPMC Passavant-McCandless | Pittsburgh | $495.00 | $30.26 – $194.89 |
| UPMC Presbyterian | Pittsburgh | $1,027.20 | $30.26 – $224.50 |
| UPMC St. Margaret | Pittsburgh | $551.40 | $30.26 – $173.35 |
| UPMC Altoona | Altoona | $347.40 | $27.51 – $463.20 |
| UPMC Bedford | Everett | $416.40 | $28.89 – $624.60 |
| UPMC Carlisle | Carlisle | $640.20 | $34.94 – $906.95 |
| UPMC Cole | Coudersport | $405.00 | $26.96 – $167.61 |