Cystometrogram w/up 51727 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,349.80
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.
?
What you pay up front if you don't use insurance.
$5,583.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$249.55 with UPMC Health Plan vs $5,136.36 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $249.55 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $249.55 | ↓ -93% |
| Aetna | CHIP/Medicaid | $294.92 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $317.65 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $336.43 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $353.15 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $358.98 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $386.61 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $427.10 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $595.56 | ↓ -82% |
| UPMC Health Plan | Partners/Select | $652.77 | ↓ -81% |
| Aetna of PA | Medicare | $668.17 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $687.19 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $687.26 | ↓ -79% |
| United Healthcare | Medicare | $687.26 | ↓ -79% |
| Aetna | Medicare | $699.99 | ↓ -79% |
| UPMC Health Plan | Commercial | $969.12 | ↓ -71% |
| UPMC Health Plan | CHIP | $1,565.26 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,696.51 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,864.65 | ↓ -44% |
| Aetna | Neighborhood Network | $2,009.88 | ↓ -40% |
| Aetna | EBR FI | $2,177.37 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,188.54 | ↓ -35% |
| Cigna | New Business ASO | $2,233.20 | ↓ -33% |
| Aetna | EBR ASO | $2,233.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $2,233.20 | ↓ -33% |
| Cigna | Commercial | $2,233.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $2,271.98 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,497.18 | ↓ -25% |
| InterGroup | PPO | $2,791.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $3,407.97 | ↑ +2% |
| Coventry/First Health | Commercial | $3,908.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $4,466.40 | ↑ +33% |
| Private Health Care Systems | PPO | $4,745.55 | ↑ +42% |
| Humana | Commercial | $4,745.55 | ↑ +42% |
| Multiplan | PPO | $5,136.36 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cystometrogram w/up 51727 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Wellsboro | Wellsboro | $2,776.80 | $179.35 – $427.10 |
| WellSpan Ephrata Community Hospital | Ephrata | $1,421.60 | $175.15 – $771.32 |