Cath adherent clot 10mm 6f 10 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$18,412.20
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.
$30,687.00
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.
$17.96 with Aetna vs $7,811.35 with AmeriHealth Caritas — 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 | $17.96 | ↓ -100% |
| Aetna | CHIP/Medicaid | $32.22 | ↓ -100% |
| Aetna | Neighborhood Network | $64.44 | ↓ -100% |
| Aetna | EBR FI | $69.81 | ↓ -100% |
| Aetna | Home Depot Employer Group | $70.17 | ↓ -100% |
| Cigna | New Business ASO | $71.60 | ↓ -100% |
| Aetna | EBR ASO | $71.60 | ↓ -100% |
| Aetna | NBR ASO/FI | $71.60 | ↓ -100% |
| Cigna | Commercial | $71.60 | ↓ -100% |
| InterGroup | PPO | $89.50 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $89.50 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $98.45 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $98.45 | ↓ -99% |
| Coventry/First Health | Commercial | $125.30 | ↓ -99% |
| Preferred Healthcare System | PPO | $143.20 | ↓ -99% |
| Private Health Care Systems | PPO | $152.15 | ↓ -99% |
| Humana | Commercial | $152.15 | ↓ -99% |
| Multiplan | PPO | $164.68 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $338.31 | ↓ -98% |
| UPMC Health Plan | CHIP | $1,060.47 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,134.82 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,150.72 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,519.77 | ↓ -92% |
| Highmark BCBS of PA | Managed Care | $1,541.14 | ↓ -92% |
| UPMC Health Plan | Commercial | $1,638.26 | ↓ -91% |
| Highmark BCBS of PA | UPMC Emergent | $2,311.71 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5,310.70 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7,811.35 | ↓ -58% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath adherent clot 10mm 6f 10 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $24,926.40 | $335.12 – $837.39 |
| UPMC Passavant-McCandless | Pittsburgh | $21,679.20 | $338.31 – $1,538.88 |
| UPMC Presbyterian | Pittsburgh | $33,235.80 | $338.31 – $1,714.59 |
| UPMC St. Margaret | Pittsburgh | $12,863.40 | $338.31 – $1,301.27 |
| UPMC Altoona | Altoona | $21,389.40 | $12.00 – $1,060.47 |
| UPMC Community Osteopathic | Harrisburg | $4,761.60 | $32.60 – $1,764.01 |
| UPMC East | Monroeville | $20,988.00 | $28.25 – $1,060.47 |
| UPMC Hamot | Erie | $21,438.00 | $335.12 – $335.12 |