Change cystostomy tube; complex 51710 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,236.80
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.
$3,728.00
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.
$30.80 with UPMC Health Plan vs $3,429.76 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $30.80 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $30.80 | ↓ -99% |
| Aetna | CHIP/Medicaid | $36.40 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $41.52 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $43.59 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $44.31 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $47.72 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $164.04 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $550.23 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $595.56 | ↓ -73% |
| UPMC Health Plan | Partners/Select | $652.77 | ↓ -71% |
| Aetna of PA | Medicare | $668.17 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $687.19 | ↓ -69% |
| United Healthcare | Medicare | $687.26 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $687.26 | ↓ -69% |
| Aetna | Medicare | $699.99 | ↓ -69% |
| UPMC Health Plan | Commercial | $1,061.31 | ↓ -53% |
| Aetna | Neighborhood Network | $1,342.08 | ↓ -40% |
| Aetna | EBR FI | $1,453.92 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,461.38 | ↓ -35% |
| Cigna | New Business ASO | $1,491.20 | ↓ -33% |
| Aetna | EBR ASO | $1,491.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,491.20 | ↓ -33% |
| Cigna | Commercial | $1,491.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,591.86 | ↓ -29% |
| UPMC Health Plan | CHIP | $1,714.16 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,845.64 | ↓ -17% |
| InterGroup | PPO | $1,864.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $2,131.80 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,471.73 | ↑ +11% |
| Coventry/First Health | Commercial | $2,609.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $2,982.40 | ↑ +33% |
| Private Health Care Systems | PPO | $3,168.80 | ↑ +42% |
| Humana | Commercial | $3,168.80 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $3,197.71 | ↑ +43% |
| Multiplan | PPO | $3,429.76 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Change cystostomy tube; complex 51710 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,270.40 | $30.80 – $699.99 |
| UPMC Passavant-McCandless | Pittsburgh | $2,813.40 | $30.80 – $699.99 |
| UPMC Presbyterian | Pittsburgh | $3,964.20 | $30.80 – $931.20 |
| UPMC Altoona | Altoona | $3,378.00 | $28.00 – $4,504.00 |
| UPMC Cole | Coudersport | $171.60 | $29.40 – $771.51 |
| UPMC East | Monroeville | $2,854.80 | $30.80 – $3,806.40 |
| UPMC Hamot | Erie | $3,037.80 | $30.80 – $925.53 |
| UPMC Northwest | Seneca | $3,396.00 | $30.80 – $668.17 |