C-section delivery incl p/p care 59515 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$4,137.60
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.
$6,896.00
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.
$36.08 with Aetna of PA vs $11,493.09 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 of PA | Medicare | $36.08 | ↓ -99% |
| Aetna | Medicare | $1,179.44 | ↓ -71% |
| Aetna | CHIP/Medicaid | $1,241.28 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,977.61 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $2,255.00 | ↓ -45% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $2,255.00 | ↓ -45% |
| UPMC Health Plan | CHIP | $2,413.60 | ↓ -42% |
| Aetna | Neighborhood Network | $2,482.56 | ↓ -40% |
| Aetna | EBR FI | $2,689.44 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,703.23 | ↓ -35% |
| Cigna | New Business ASO | $2,758.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $2,758.40 | ↓ -33% |
| Aetna | EBR ASO | $2,758.40 | ↓ -33% |
| Cigna | Commercial | $2,758.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $2,999.76 | ↓ -28% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,040.15 | ↓ -27% |
| UPMC Work Partners | Workers Comp | $3,060.29 | ↓ -26% |
| Geisinger | Medicaid/CHIP | $3,191.24 | ↓ -23% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,243.92 | ↓ -22% |
| InterGroup | PPO | $3,448.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,448.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,493.61 | ↓ -16% |
| Coventry/First Health | Commercial | $4,827.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $5,516.80 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,721.41 | ↑ +38% |
| Private Health Care Systems | PPO | $5,861.60 | ↑ +42% |
| Humana | Commercial | $5,861.60 | ↑ +42% |
| Multiplan | PPO | $6,344.32 | ↑ +53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6,633.54 | ↑ +60% |
| Highmark BCBS of PA | Managed Care | $7,662.02 | ↑ +85% |
| Highmark BCBS of PA | Commercial - Indemnity | $8,883.79 | ↑ +115% |
| Highmark BCBS of PA | UPMC Emergent | $11,493.09 | ↑ +178% |
Visitor-reported prices
Comments
C-section delivery incl p/p care 59515 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,904.20 | $1,977.61 – $3,558.48 |
| UPMC Cole | Coudersport | $2,050.80 | $947.47 – $2,811.62 |
| UPMC Williamsport | Williamsport | $1,012.80 | $2,624.00 – $3,380.56 |