Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$4,253.40
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.
$7,089.00
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.
$33.84 with Aetna vs $4,448.02 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $33.84 | ↓ -99% |
| Aetna | Neighborhood Network | $67.68 | ↓ -98% |
| Aetna | EBR FI | $73.32 | ↓ -98% |
| Aetna | Home Depot Employer Group | $73.70 | ↓ -98% |
| Cigna | New Business ASO | $75.20 | ↓ -98% |
| Aetna | EBR ASO | $75.20 | ↓ -98% |
| Aetna | NBR ASO/FI | $75.20 | ↓ -98% |
| Cigna | Commercial | $75.20 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $94.00 | ↓ -98% |
| InterGroup | PPO | $94.00 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $103.40 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $103.40 | ↓ -98% |
| Coventry/First Health | Commercial | $131.60 | ↓ -97% |
| Preferred Healthcare System | PPO | $150.40 | ↓ -96% |
| Private Health Care Systems | PPO | $159.80 | ↓ -96% |
| Humana | Commercial | $159.80 | ↓ -96% |
| Multiplan | PPO | $172.96 | ↓ -96% |
| Aetna | Medicare | $578.49 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $617.32 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $650.96 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $908.00 | ↓ -79% |
| UPMC Health Plan | CHIP | $1,323.84 | ↓ -69% |
| UPMC Health Plan | Commercial | $2,045.12 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,183.53 | ↓ -49% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,214.12 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,924.23 | ↓ -31% |
| Highmark BCBS of PA | Managed Care | $2,965.34 | ↓ -30% |
| Highmark BCBS of PA | UPMC Emergent | $4,448.02 | ↑ +5% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $6,811.80 | $644.82 – $1,045.36 |
| UPMC Passavant-McCandless | Pittsburgh | $5,142.60 | $650.96 – $1,921.06 |
| UPMC Presbyterian | Pittsburgh | $15,638.40 | $650.96 – $2,140.41 |
| UPMC St. Margaret | Pittsburgh | $11,917.80 | $650.96 – $1,624.45 |
| UPMC Altoona | Altoona | $5,848.80 | $26.98 – $1,323.84 |
| UPMC Community Osteopathic | Harrisburg | $5,022.00 | $141.00 – $3,394.17 |
| UPMC East | Monroeville | $5,268.60 | $27.17 – $1,323.84 |
| UPMC Hamot | Erie | $5,576.40 | $644.82 – $644.82 |