C1 esterase inhibitor func - sendout at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$202.80
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.
$338.00
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.
$11.23 with UPMC Health Plan vs $295.32 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $11.23 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $11.86 | ↓ -94% |
| UPMC Health Plan | Partners/Select | $12.31 | ↓ -94% |
| Aetna of PA | Medicare | $12.60 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $12.96 | ↓ -94% |
| United Healthcare | Medicare | $12.96 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $12.96 | ↓ -94% |
| Aetna | Medicare | $13.20 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $18.25 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $18.25 | ↓ -91% |
| Aetna | CHIP/Medicaid | $21.57 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.60 | ↓ -88% |
| UPMC Health Plan | Commercial | $24.89 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $25.83 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.25 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28.27 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $32.95 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $52.38 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $70.15 | ↓ -65% |
| UPMC Health Plan | CHIP | $85.51 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $105.22 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $110.53 | ↓ -45% |
| Aetna | Neighborhood Network | $115.56 | ↓ -43% |
| Aetna | EBR FI | $125.19 | ↓ -38% |
| Aetna | Home Depot Employer Group | $125.83 | ↓ -38% |
| Cigna | New Business ASO | $128.40 | ↓ -37% |
| Cigna | Commercial | $128.40 | ↓ -37% |
| Aetna | NBR ASO/FI | $128.40 | ↓ -37% |
| Aetna | EBR ASO | $128.40 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity | $148.02 | ↓ -27% |
| InterGroup | PPO | $160.50 | ↓ -21% |
| Coventry/First Health | Commercial | $224.70 | ↑ +11% |
| Preferred Healthcare System | PPO | $256.80 | ↑ +27% |
| Humana | Commercial | $272.85 | ↑ +35% |
| Private Health Care Systems | PPO | $272.85 | ↑ +35% |
| Multiplan | PPO | $295.32 | ↑ +46% |
Visitor-reported prices
Comments
C1 esterase inhibitor func - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $236.40 | $10.00 – $32.64 |
| UPMC Passavant-McCandless | Pittsburgh | $202.80 | $11.15 – $32.95 |
| UPMC Presbyterian | Pittsburgh | $274.80 | $11.86 – $32.95 |
| UPMC St. Margaret | Pittsburgh | $202.80 | $10.36 – $32.95 |
| UPMC Altoona | Altoona | $143.40 | $11.86 – $191.20 |
| UPMC Bedford | Everett | $213.60 | $4.33 – $320.40 |
| UPMC Carlisle | Carlisle | $66.60 | $11.88 – $94.35 |
| UPMC Cole | Coudersport | $119.40 | $7.80 – $159.20 |