Cath plc art/angio/rt hrt cath at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$11,700.00
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.
$19,500.00
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.
$1,363.65 with Highmark BCBS of PA vs $17,940.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,363.65 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $1,622.87 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $2,869.90 | ↓ -75% |
| UPMC Health Plan | Partners/Select | $3,145.57 | ↓ -73% |
| Aetna of PA | Medicare | $3,219.78 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,311.47 | ↓ -72% |
| United Healthcare | Medicare | $3,311.78 | ↓ -72% |
| AmeriHealth Caritas | Medicare | $3,311.78 | ↓ -72% |
| Aetna | Medicare | $3,373.11 | ↓ -71% |
| Aetna | CHIP/Medicaid | $3,510.00 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,161.67 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,574.14 | ↓ -61% |
| Highmark BCBS of PA | Managed Care | $5,573.35 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,125.79 | ↓ -48% |
| UPMC Health Plan | CHIP | $6,887.94 | ↓ -41% |
| Aetna | Neighborhood Network | $7,020.00 | ↓ -40% |
| Aetna | EBR FI | $7,605.00 | ↓ -35% |
| Aetna | Home Depot Employer Group | $7,644.00 | ↓ -35% |
| Aetna | EBR ASO | $7,800.00 | ↓ -33% |
| Cigna | New Business ASO | $7,800.00 | ↓ -33% |
| Cigna | Commercial | $7,800.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $7,800.00 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $8,360.03 | ↓ -29% |
| InterGroup | PPO | $9,750.00 | ↓ -17% |
| UPMC Health Plan | Commercial | $10,640.77 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $10,725.00 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10,725.00 | ↓ -8% |
| Coventry/First Health | Commercial | $13,650.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $15,600.00 | ↑ +33% |
| Humana | Commercial | $16,575.00 | ↑ +42% |
| Private Health Care Systems | PPO | $16,575.00 | ↑ +42% |
| Multiplan | PPO | $17,940.00 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cath plc art/angio/rt hrt cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $12,175.20 | $1,350.79 – $3,373.11 |
| UPMC Passavant-McCandless | Pittsburgh | $15,848.40 | $1,363.65 – $3,373.11 |
| UPMC Presbyterian | Pittsburgh | $16,701.60 | $931.20 – $11,136.58 |
| UPMC St. Margaret | Pittsburgh | $19,438.80 | $1,363.65 – $3,373.11 |
| UPMC Carlisle | Carlisle | $5,873.40 | $1,016.56 – $8,320.65 |
| UPMC Community Osteopathic | Harrisburg | $5,873.40 | $1,016.56 – $8,320.65 |
| UPMC East | Monroeville | $8,307.60 | $1,363.65 – $11,076.80 |
| UPMC Hamot | Erie | $11,300.40 | $1,350.79 – $4,459.95 |