D&c after delivery 59160 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$6,928.80
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.
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What you pay up front if you don't use insurance.
$11,548.00
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.
$474.36 with UPMC Work Partners vs $13,847.80 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 Work Partners | Workers Comp | $474.36 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,361.59 | ↓ -80% |
| Aetna | CHIP/Medicaid | $2,078.64 | ↓ -70% |
| UPMC Health Plan | Commercial | $2,645.47 | ↓ -62% |
| UPMC Health Plan | Managed Medicare | $2,836.99 | ↓ -59% |
| UPMC Health Plan | Partners/Select | $3,109.51 | ↓ -55% |
| Aetna of PA | Medicare | $3,182.86 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,273.50 | ↓ -53% |
| United Healthcare | Medicare | $3,273.80 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $3,273.80 | ↓ -53% |
| Aetna | Medicare | $3,334.43 | ↓ -52% |
| Aetna | Neighborhood Network | $4,157.28 | ↓ -40% |
| UPMC Health Plan | CHIP | $4,272.80 | ↓ -38% |
| Aetna | EBR FI | $4,503.72 | ↓ -35% |
| Aetna | Home Depot Employer Group | $4,526.82 | ↓ -35% |
| Cigna | New Business ASO | $4,619.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $4,619.20 | ↓ -33% |
| Aetna | EBR ASO | $4,619.20 | ↓ -33% |
| Cigna | Commercial | $4,619.20 | ↓ -33% |
| InterGroup | PPO | $5,774.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,351.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $6,351.40 | ↓ -8% |
| Highmark BCBS of PA | Managed Care - Social Mission | $6,893.62 | ↓ -1% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,992.63 | ↑ +15% |
| Coventry/First Health | Commercial | $8,083.60 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $9,231.83 | ↑ +33% |
| Preferred Healthcare System | PPO | $9,238.40 | ↑ +33% |
| Humana | Commercial | $9,815.80 | ↑ +42% |
| Private Health Care Systems | PPO | $9,815.80 | ↑ +42% |
| Multiplan | PPO | $10,624.16 | ↑ +53% |
| Highmark BCBS of PA | Commercial - Indemnity | $10,703.91 | ↑ +54% |
| Highmark BCBS of PA | UPMC Emergent | $13,847.80 | ↑ +100% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
D&c after delivery 59160 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,304.00 | $474.36 – $11,072.00 |
| UPMC Cole | Coudersport | $369.60 | $170.76 – $771.51 |
| UPMC McKeesport | Mckeesport | $7,135.80 | $474.36 – $3,334.43 |
| Uniontown Hospital | Uniontown | $3,720.50 | $205.80 – $6,516.82 |
| UPMC Community Osteopathic | Harrisburg | not published | $496.42 – $5,805.45 |
| UPMC Hamot | Erie | not published | $474.36 – $4,408.81 |
| UPMC Northwest | Seneca | not published | $474.36 – $3,273.80 |
| UPMC Horizon-Greenville | Greenville | not published | $474.36 – $3,273.80 |