Catheterization collection of specimen single patient all places of service at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$16.80
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.
$28.00
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.
$5.04 with Aetna vs $29.12 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 | $5.04 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5.63 | ↓ -66% |
| UPMC Health Plan | Commercial | $8.48 | ↓ -50% |
| UPMC Health Plan | Managed Medicare | $8.51 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $8.73 | ↓ -48% |
| Highmark BCBS of PA | Managed Care - Social Mission | $8.95 | ↓ -47% |
| UPMC Health Plan | Partners/Select | $9.32 | ↓ -45% |
| Aetna of PA | Medicare | $9.54 | ↓ -43% |
| United Healthcare | Medicare | $9.82 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicare | $9.82 | ↓ -42% |
| AmeriHealth Caritas | Medicare | $9.82 | ↓ -42% |
| Aetna | Medicare | $10.00 | ↓ -40% |
| Aetna | Neighborhood Network | $10.08 | ↓ -40% |
| Aetna | EBR FI | $10.92 | ↓ -35% |
| Aetna | Home Depot Employer Group | $10.98 | ↓ -35% |
| Aetna | NBR ASO/FI | $11.20 | ↓ -33% |
| Cigna | Commercial | $11.20 | ↓ -33% |
| Cigna | New Business ASO | $11.20 | ↓ -33% |
| Aetna | EBR ASO | $11.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $11.98 | ↓ -29% |
| InterGroup | PPO | $14.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $15.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $15.40 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $17.98 | ↑ +7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $18.88 | ↑ +12% |
| Coventry/First Health | Commercial | $19.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $22.40 | ↑ +33% |
| Humana | Commercial | $23.80 | ↑ +42% |
| Private Health Care Systems | PPO | $23.80 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $25.29 | ↑ +51% |
| Multiplan | PPO | $25.76 | ↑ +53% |
| UPMC Health Plan | CHIP | $29.12 | ↑ +73% |
Visitor-reported prices
Comments
Catheterization collection of specimen single patient all places of service at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $70.80 | $5.58 – $10.00 |
| UPMC Passavant-McCandless | Pittsburgh | $18.60 | $5.63 – $10.15 |
| UPMC Presbyterian | Pittsburgh | $25.20 | $5.63 – $10.15 |
| UPMC St. Margaret | Pittsburgh | $70.20 | $5.63 – $10.00 |
| UPMC Altoona | Altoona | $26.40 | $5.58 – $35.20 |
| UPMC Bedford | Everett | $100.20 | $3.28 – $150.30 |
| UPMC Carlisle | Carlisle | $8.40 | $1.92 – $14.54 |
| UPMC Community Osteopathic | Harrisburg | $145.80 | $2.80 – $29.12 |