Change g-tube to g-j perc at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$4,423.20
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.
$7,372.00
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.
$138.42 with UPMC Health Plan vs $11,065.81 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $138.42 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $138.42 | ↓ -97% |
| Aetna | CHIP/Medicaid | $163.59 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $186.62 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $195.90 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $199.13 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $214.46 | ↓ -95% |
| UPMC Health Plan | Commercial | $1,516.52 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $1,646.07 | ↓ -63% |
| UPMC Health Plan | Managed Medicare | $1,692.62 | ↓ -62% |
| UPMC Health Plan | Partners/Select | $1,855.21 | ↓ -58% |
| Aetna of PA | Medicare | $1,898.98 | ↓ -57% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,904.08 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,953.05 | ↓ -56% |
| United Healthcare | Medicare | $1,953.23 | ↓ -56% |
| AmeriHealth Caritas | Medicare | $1,953.23 | ↓ -56% |
| Aetna | Medicare | $1,989.40 | ↓ -55% |
| UPMC Health Plan | CHIP | $2,449.38 | ↓ -45% |
| Aetna | Neighborhood Network | $2,653.92 | ↓ -40% |
| Aetna | EBR FI | $2,875.08 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,889.82 | ↓ -35% |
| Cigna | New Business ASO | $2,948.80 | ↓ -33% |
| Aetna | EBR ASO | $2,948.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $2,948.80 | ↓ -33% |
| Cigna | Commercial | $2,948.80 | ↓ -33% |
| InterGroup | PPO | $3,686.00 | ↓ -17% |
| Coventry/First Health | Commercial | $5,160.40 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,508.70 | ↑ +25% |
| Preferred Healthcare System | PPO | $5,897.60 | ↑ +33% |
| Humana | Commercial | $6,266.20 | ↑ +42% |
| Private Health Care Systems | PPO | $6,266.20 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6,386.93 | ↑ +44% |
| Multiplan | PPO | $6,782.24 | ↑ +53% |
| Highmark BCBS of PA | Managed Care | $7,377.17 | ↑ +67% |
| Highmark BCBS of PA | Commercial - Indemnity | $8,553.52 | ↑ +93% |
| Highmark BCBS of PA | UPMC Emergent | $11,065.81 | ↑ +150% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Change g-tube to g-j perc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,534.60 | $138.42 – $1,989.40 |
| UPMC Passavant-McCandless | Pittsburgh | $3,979.80 | $138.42 – $1,989.40 |
| UPMC Presbyterian | Pittsburgh | $6,847.80 | $138.42 – $2,272.78 |
| UPMC St. Margaret | Pittsburgh | $3,754.80 | $138.42 – $1,989.40 |
| UPMC Altoona | Altoona | $4,110.00 | $125.84 – $5,480.00 |
| UPMC Carlisle | Carlisle | $6,196.80 | $159.82 – $8,778.80 |
| UPMC Community Osteopathic | Harrisburg | $6,196.80 | $169.88 – $8,778.80 |
| UPMC East | Monroeville | $7,895.40 | $138.42 – $10,527.20 |