Bx vulva or perineum/ea add lesion 56606 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$753.00
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.
$1,255.00
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.
$25.80 with Aetna vs $1,154.60 with Multiplan — 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 | Medicare | $25.80 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $30.14 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $30.14 | ↓ -96% |
| Aetna | CHIP/Medicaid | $35.62 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.63 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $42.65 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $43.36 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $46.70 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $75.04 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $83.87 | ↓ -89% |
| Highmark BCBS of PA | Managed Care - Social Mission | $217.10 | ↓ -71% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $251.71 | ↓ -67% |
| Highmark BCBS of PA | Managed Care | $290.74 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity | $337.10 | ↓ -55% |
| Highmark BCBS of PA | UPMC Emergent | $436.11 | ↓ -42% |
| Aetna | Neighborhood Network | $451.80 | ↓ -40% |
| Aetna | EBR FI | $489.45 | ↓ -35% |
| Aetna | Home Depot Employer Group | $491.96 | ↓ -35% |
| Cigna | New Business ASO | $502.00 | ↓ -33% |
| Aetna | EBR ASO | $502.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $502.00 | ↓ -33% |
| Cigna | Commercial | $502.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $547.92 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $627.50 | ↓ -17% |
| InterGroup | PPO | $627.50 | ↓ -17% |
| Coventry/First Health | Commercial | $878.50 | ↑ +17% |
| UPMC Health Plan | CHIP | $884.97 | ↑ +18% |
| Preferred Healthcare System | PPO | $1,004.00 | ↑ +33% |
| Private Health Care Systems | PPO | $1,066.75 | ↑ +42% |
| Humana | Commercial | $1,066.75 | ↑ +42% |
| Multiplan | PPO | $1,154.60 | ↑ +53% |
Visitor-reported prices
Comments
Bx vulva or perineum/ea add lesion 56606 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $576.60 | $30.14 – $99.25 |
| UPMC St. Margaret | Pittsburgh | $411.00 | $30.14 – $83.87 |
| UPMC Altoona | Altoona | $461.40 | $27.40 – $615.20 |
| UPMC Community Osteopathic | Harrisburg | $312.00 | $34.80 – $884.97 |
| UPMC Hanover | Hanover | $312.00 | $34.80 – $81.39 |
| UPMC Kane | Kane | $61.80 | $30.14 – $163.27 |
| UPMC Memorial | York | $312.00 | $23.45 – $81.39 |
| UPMC Somerset | Somerset | $312.00 | $30.14 – $76.81 |