Colonoscopy w/control bleed at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,228.00
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.
$5,380.00
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.
$279.40 with United Healthcare Community Plan for Families vs $4,949.60 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $279.40 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $279.40 | ↓ -91% |
| Aetna | CHIP/Medicaid | $330.20 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $376.68 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $395.40 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $401.93 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $432.87 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $736.75 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $1,052.05 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1,118.05 | ↓ -65% |
| UPMC Health Plan | Partners/Select | $1,153.11 | ↓ -64% |
| Aetna of PA | Medicare | $1,180.32 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,213.93 | ↓ -62% |
| AmeriHealth Caritas | Medicare | $1,214.04 | ↓ -62% |
| United Healthcare | Medicare | $1,214.04 | ↓ -62% |
| Aetna | Medicare | $1,236.52 | ↓ -62% |
| UPMC Health Plan | Commercial | $1,423.46 | ↓ -56% |
| Aetna | Neighborhood Network | $1,936.80 | ↓ -40% |
| Aetna | EBR FI | $2,098.20 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,108.96 | ↓ -35% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,131.49 | ↓ -34% |
| Cigna | Commercial | $2,152.00 | ↓ -33% |
| Aetna | EBR ASO | $2,152.00 | ↓ -33% |
| Cigna | New Business ASO | $2,152.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $2,152.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $2,299.08 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,471.31 | ↓ -23% |
| InterGroup | PPO | $2,690.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $2,854.47 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,309.63 | ↑ +3% |
| Coventry/First Health | Commercial | $3,766.00 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $4,281.72 | ↑ +33% |
| Preferred Healthcare System | PPO | $4,304.00 | ↑ +33% |
| Private Health Care Systems | PPO | $4,573.00 | ↑ +42% |
| Humana | Commercial | $4,573.00 | ↑ +42% |
| Multiplan | PPO | $4,949.60 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy w/control bleed at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,349.80 | $279.40 – $1,236.52 |
| UPMC Passavant-McCandless | Pittsburgh | $2,240.40 | $279.40 – $1,300.06 |
| UPMC Presbyterian | Pittsburgh | $8,934.60 | $279.40 – $1,314.35 |
| UPMC St. Margaret | Pittsburgh | $2,501.40 | $279.40 – $1,236.52 |
| UPMC Altoona | Altoona | $1,764.60 | $254.00 – $2,352.80 |
| UPMC Bedford | Everett | $4,788.00 | $266.70 – $7,182.00 |
| UPMC Carlisle | Carlisle | $2,019.60 | $322.58 – $2,861.10 |
| UPMC Cole | Coudersport | $1,083.00 | $266.70 – $1,444.00 |