Cystoscopy chemodenervation at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,871.40
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.
$3,119.00
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.
$143.81 with UPMC Health Plan vs $3,275.55 with UPMC Health Plan — 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 | $143.81 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $143.81 | ↓ -92% |
| Aetna | CHIP/Medicaid | $169.96 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $193.89 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $203.52 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $206.88 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $222.81 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $253.23 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $419.89 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $732.63 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $849.43 | ↓ -55% |
| Highmark BCBS of PA | Managed Care | $981.13 | ↓ -48% |
| Aetna | Neighborhood Network | $1,122.84 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,137.57 | ↓ -39% |
| Aetna | EBR FI | $1,216.41 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,222.65 | ↓ -35% |
| Cigna | New Business ASO | $1,247.60 | ↓ -33% |
| Aetna | EBR ASO | $1,247.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,247.60 | ↓ -33% |
| Cigna | Commercial | $1,247.60 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $1,471.70 | ↓ -21% |
| InterGroup | PPO | $1,559.50 | ↓ -17% |
| UPMC Health Plan | Managed Medicare | $1,827.82 | ↓ -2% |
| UPMC Health Plan | Partners/Select | $2,003.40 | ↑ +7% |
| Aetna of PA | Medicare | $2,050.66 | ↑ +10% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,109.06 | ↑ +13% |
| AmeriHealth Caritas | Medicare | $2,109.25 | ↑ +13% |
| United Healthcare | Medicare | $2,109.25 | ↑ +13% |
| Aetna | Medicare | $2,148.31 | ↑ +15% |
| Coventry/First Health | Commercial | $2,183.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $2,495.20 | ↑ +33% |
| Private Health Care Systems | PPO | $2,651.15 | ↑ +42% |
| Humana | Commercial | $2,651.15 | ↑ +42% |
| Multiplan | PPO | $2,869.48 | ↑ +53% |
| UPMC Health Plan | Commercial | $2,973.79 | ↑ +59% |
| UPMC Health Plan | CHIP | $3,275.55 | ↑ +75% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy chemodenervation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | not published | $143.81 – $2,148.31 |
| UPMC Cole | Coudersport | $293.40 | $135.55 – $1,041.88 |
| UPMC Wellsboro | Wellsboro | $1,976.00 | $143.81 – $993.28 |
| Uniontown Hospital | Uniontown | $2,459.50 | $143.81 – $4,208.25 |
| UPMC Altoona | Altoona | not published | $130.74 – $2,109.25 |
| UPMC Community Osteopathic | Harrisburg | not published | $176.50 – $4,217.85 |
| UPMC East | Monroeville | not published | $143.81 – $2,148.31 |
| UPMC Hamot | Erie | not published | $143.81 – $2,840.52 |