Cath stripping venous s&i at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$602.40
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.
?
What you pay up front if you don't use insurance.
$1,004.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$99.47 with Highmark BCBS of PA vs $923.68 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $99.47 | ↓ -83% |
| UPMC Health Plan | Commercial | $109.06 | ↓ -82% |
| UPMC Health Plan | CHIP | $136.81 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $171.30 | ↓ -72% |
| Aetna | CHIP/Medicaid | $180.72 | ↓ -70% |
| Aetna | Medicare | $229.33 | ↓ -62% |
| Highmark BCBS of PA | Managed Care - Social Mission | $287.79 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $333.67 | ↓ -45% |
| Aetna | Neighborhood Network | $361.44 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $385.40 | ↓ -36% |
| Aetna | EBR FI | $391.56 | ↓ -35% |
| Aetna | Home Depot Employer Group | $393.57 | ↓ -35% |
| Cigna | New Business ASO | $401.60 | ↓ -33% |
| Aetna | EBR ASO | $401.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $401.60 | ↓ -33% |
| Cigna | Commercial | $401.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $446.85 | ↓ -26% |
| Highmark Wholecare (prev Gateway) | Medicare | $502.00 | ↓ -17% |
| InterGroup | PPO | $502.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $552.20 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $552.20 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $578.10 | ↓ -4% |
| Coventry/First Health | Commercial | $702.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $803.20 | ↑ +33% |
| Private Health Care Systems | PPO | $853.40 | ↑ +42% |
| Humana | Commercial | $853.40 | ↑ +42% |
| Multiplan | PPO | $923.68 | ↑ +53% |
Visitor-reported prices
Comments
Cath stripping venous s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $411.60 | $67.95 – $221.93 |
| UPMC Passavant-McCandless | Pittsburgh | $600.60 | $70.50 – $199.19 |
| UPMC Presbyterian | Pittsburgh | $712.20 | $85.88 – $258.06 |
| UPMC St. Margaret | Pittsburgh | $437.40 | $64.86 – $171.30 |
| UPMC Carlisle | Carlisle | $1,564.20 | $136.81 – $2,215.95 |
| UPMC Community Osteopathic | Harrisburg | $1,564.20 | $136.81 – $2,215.95 |
| UPMC East | Monroeville | $424.20 | $64.14 – $565.60 |
| UPMC Hamot | Erie | $246.00 | $68.32 – $460.44 |