Change ureter stent percut at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$11,472.00
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.
$19,120.00
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.
$1,665.47 with UPMC Health Plan vs $17,590.40 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 | Commercial | $1,665.47 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $1,827.82 | ↓ -84% |
| UPMC Health Plan | Partners/Select | $2,003.40 | ↓ -83% |
| Aetna of PA | Medicare | $2,050.66 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,109.06 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $2,109.25 | ↓ -82% |
| United Healthcare | Medicare | $2,109.25 | ↓ -82% |
| Aetna | Medicare | $2,148.31 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $2,444.97 | ↓ -79% |
| UPMC Health Plan | CHIP | $2,689.96 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,733.97 | ↓ -76% |
| Aetna | CHIP/Medicaid | $3,441.60 | ↓ -70% |
| Aetna | Neighborhood Network | $6,883.20 | ↓ -40% |
| Aetna | EBR FI | $7,456.80 | ↓ -35% |
| Aetna | Home Depot Employer Group | $7,495.04 | ↓ -35% |
| Cigna | New Business ASO | $7,648.00 | ↓ -33% |
| Cigna | Commercial | $7,648.00 | ↓ -33% |
| Aetna | EBR ASO | $7,648.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $7,648.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,909.64 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $9,170.63 | ↓ -20% |
| InterGroup | PPO | $9,560.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10,516.00 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $10,516.00 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $10,592.46 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $12,281.51 | ↑ +7% |
| Coventry/First Health | Commercial | $13,384.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $15,296.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $15,888.77 | ↑ +39% |
| Private Health Care Systems | PPO | $16,252.00 | ↑ +42% |
| Humana | Commercial | $16,252.00 | ↑ +42% |
| Multiplan | PPO | $17,590.40 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Change ureter stent percut at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $11,414.40 | $931.20 – $3,405.13 |
| UPMC Mercy | Pittsburgh | not published | $1,628.03 – $2,928.41 |
| UPMC St. Margaret | Pittsburgh | not published | $1,207.26 – $2,733.97 |
| UPMC Carlisle | Carlisle | $4,696.80 | $1,016.56 – $6,653.80 |
| UPMC Community Osteopathic | Harrisburg | $4,696.80 | $1,016.56 – $6,653.80 |
| UPMC Hamot | Erie | $14,870.40 | $2,254.02 – $2,840.52 |
| UPMC Hanover | Hanover | $4,696.80 | $1,016.56 – $3,131.10 |
| UPMC Lititz | Lititz | $4,696.80 | $1,016.56 – $3,148.02 |