Cath baloon occl urnry 34f 7x2x65 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,032.60
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.
$1,721.00
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.
$35.82 with Aetna vs $4,916.25 with UPMC Health Plan — 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 | $35.82 | ↓ -97% |
| Aetna | Neighborhood Network | $71.64 | ↓ -93% |
| Aetna | EBR FI | $77.61 | ↓ -92% |
| Aetna | Home Depot Employer Group | $78.01 | ↓ -92% |
| Aetna | EBR ASO | $79.60 | ↓ -92% |
| Aetna | NBR ASO/FI | $79.60 | ↓ -92% |
| Cigna | Commercial | $79.60 | ↓ -92% |
| Cigna | New Business ASO | $79.60 | ↓ -92% |
| InterGroup | PPO | $99.50 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $99.50 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $99.50 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $109.45 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $109.45 | ↓ -89% |
| Coventry/First Health | Commercial | $139.30 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $147.62 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Indemnity | $147.62 | ↓ -86% |
| Highmark BCBS of PA | Managed Care | $152.49 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $152.49 | ↓ -85% |
| Preferred Healthcare System | PPO | $159.20 | ↓ -85% |
| Humana | Commercial | $169.15 | ↓ -84% |
| Private Health Care Systems | PPO | $169.15 | ↓ -84% |
| Multiplan | PPO | $183.08 | ↓ -82% |
| Highmark BCBS of PA | UPMC Emergent | $228.75 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $395.83 | ↓ -62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $582.21 | ↓ -44% |
| Aetna | Medicare | $616.00 | ↓ -40% |
| UPMC Health Plan | CHIP | $3,182.37 | ↑ +208% |
| UPMC Health Plan | Commercial | $4,916.25 | ↑ +376% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath baloon occl urnry 34f 7x2x65 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $15,264.00 | $2,512.93 – $2,512.93 |
| UPMC Passavant-McCandless | Pittsburgh | $8,935.20 | $4,618.01 – $4,618.01 |
| UPMC Presbyterian | Pittsburgh | $20,352.00 | $5,145.32 – $5,145.32 |
| UPMC St. Margaret | Pittsburgh | $1,258.20 | $3,904.99 – $3,904.99 |
| UPMC Altoona | Altoona | $4,984.80 | $139.65 – $3,182.37 |
| UPMC Bedford | Everett | $1,946.40 | $202.16 – $3,182.37 |
| UPMC Community Osteopathic | Harrisburg | $559.80 | $186.60 – $3,182.37 |
| UPMC East | Monroeville | $1,429.80 | $168.00 – $3,182.37 |