Declotting thrombolytic agent implanted vas access device 36 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$274.80
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.
$458.00
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.
$27.57 with UPMC Health Plan vs $514.30 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 | $27.57 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $27.57 | ↓ -90% |
| Aetna | CHIP/Medicaid | $32.58 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $37.16 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $39.01 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $39.65 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $42.71 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $55.33 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $64.01 | ↓ -77% |
| Aetna | Neighborhood Network | $164.88 | ↓ -40% |
| Aetna | EBR FI | $178.62 | ↓ -35% |
| Aetna | Home Depot Employer Group | $179.54 | ↓ -35% |
| Aetna | EBR ASO | $183.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $183.20 | ↓ -33% |
| Cigna | Commercial | $183.20 | ↓ -33% |
| Cigna | New Business ASO | $183.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $185.18 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $214.70 | ↓ -22% |
| InterGroup | PPO | $229.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $247.99 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Indemnity | $287.53 | ↑ +5% |
| UPMC Health Plan | Managed Medicare | $295.96 | ↑ +8% |
| UPMC Health Plan | Commercial | $318.43 | ↑ +16% |
| Coventry/First Health | Commercial | $320.60 | ↑ +17% |
| UPMC Health Plan | Partners/Select | $324.39 | ↑ +18% |
| Aetna of PA | Medicare | $332.04 | ↑ +21% |
| Highmark Wholecare (prev Gateway) | Medicare | $341.50 | ↑ +24% |
| United Healthcare | Medicare | $341.53 | ↑ +24% |
| AmeriHealth Caritas | Medicare | $341.53 | ↑ +24% |
| Aetna | Medicare | $347.85 | ↑ +27% |
| Preferred Healthcare System | PPO | $366.40 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $371.99 | ↑ +35% |
| Private Health Care Systems | PPO | $389.30 | ↑ +42% |
| Humana | Commercial | $389.30 | ↑ +42% |
| Multiplan | PPO | $421.36 | ↑ +53% |
| UPMC Health Plan | CHIP | $514.30 | ↑ +87% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Declotting thrombolytic agent implanted vas access device 36 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $317.40 | $27.57 – $347.85 |
| UPMC Passavant-McCandless | Pittsburgh | $249.60 | $27.57 – $347.85 |
| UPMC Presbyterian | Pittsburgh | $843.60 | $27.57 – $347.85 |
| UPMC St. Margaret | Pittsburgh | $239.40 | $27.57 – $347.85 |
| UPMC Altoona | Altoona | $496.80 | $25.06 – $662.40 |
| UPMC Bedford | Everett | $393.60 | $26.31 – $590.40 |
| UPMC Carlisle | Carlisle | $740.40 | $31.83 – $1,048.90 |
| UPMC Cole | Coudersport | $100.80 | $18.57 – $98.03 |