Cath right heart w/o2 sat & card at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,876.00
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.
$6,460.00
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.
$1,105.80 with Highmark BCBS of PA vs $6,779.25 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,105.80 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $1,126.58 | ↓ -71% |
| Aetna | CHIP/Medicaid | $1,162.80 | ↓ -70% |
| Aetna | Neighborhood Network | $2,325.60 | ↓ -40% |
| Aetna | EBR FI | $2,519.40 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,532.32 | ↓ -35% |
| Cigna | Commercial | $2,584.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $2,584.00 | ↓ -33% |
| Aetna | EBR ASO | $2,584.00 | ↓ -33% |
| Cigna | New Business ASO | $2,584.00 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $2,869.90 | ↓ -26% |
| UPMC Health Plan | CHIP | $3,067.06 | ↓ -21% |
| UPMC Health Plan | Partners/Select | $3,145.57 | ↓ -19% |
| Aetna of PA | Medicare | $3,219.78 | ↓ -17% |
| InterGroup | PPO | $3,230.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,311.47 | ↓ -15% |
| United Healthcare | Medicare | $3,311.78 | ↓ -15% |
| AmeriHealth Caritas | Medicare | $3,311.78 | ↓ -15% |
| Aetna | Medicare | $3,373.11 | ↓ -13% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,374.75 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $3,553.00 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,553.00 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,709.23 | ↓ -4% |
| Highmark BCBS of PA | Managed Care | $4,519.50 | ↑ +17% |
| Coventry/First Health | Commercial | $4,522.00 | ↑ +17% |
| UPMC Health Plan | Commercial | $4,738.12 | ↑ +22% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,967.48 | ↑ +28% |
| Preferred Healthcare System | PPO | $5,168.00 | ↑ +33% |
| Humana | Commercial | $5,491.00 | ↑ +42% |
| Private Health Care Systems | PPO | $5,491.00 | ↑ +42% |
| Multiplan | PPO | $5,943.20 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $6,779.25 | ↑ +75% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cath right heart w/o2 sat & card at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $4,684.80 | $1,095.37 – $3,373.11 |
| UPMC Passavant-McCandless | Pittsburgh | $6,457.80 | $1,105.80 – $3,373.11 |
| UPMC Presbyterian | Pittsburgh | $8,975.40 | $931.20 – $4,958.89 |
| UPMC St. Margaret | Pittsburgh | $10,831.20 | $1,105.80 – $3,373.11 |
| UPMC Altoona | Altoona | $5,586.00 | $1,095.37 – $7,448.00 |
| UPMC Carlisle | Carlisle | $4,762.80 | $1,016.56 – $6,747.30 |
| UPMC Community Osteopathic | Harrisburg | $4,762.80 | $1,016.56 – $6,747.30 |
| UPMC East | Monroeville | $5,670.60 | $1,105.80 – $7,560.80 |