Destruction 2-14 lesions 17003 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$85.80
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.
$143.00
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.
$1.97 with Aetna vs $134.18 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 |
|---|---|---|---|
| Aetna | Medicare | $1.97 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $4.67 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $4.67 | ↓ -95% |
| Aetna | CHIP/Medicaid | $5.53 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6.30 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $6.62 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.73 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $7.24 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.41 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $22.58 | ↓ -74% |
| Aetna | Neighborhood Network | $51.48 | ↓ -40% |
| Highmark BCBS of PA | Managed Care - Social Mission | $53.26 | ↓ -38% |
| Aetna | EBR FI | $55.77 | ↓ -35% |
| Aetna | Home Depot Employer Group | $56.06 | ↓ -35% |
| Cigna | New Business ASO | $57.20 | ↓ -33% |
| Aetna | EBR ASO | $57.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $57.20 | ↓ -33% |
| Cigna | Commercial | $57.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $61.75 | ↓ -28% |
| Highmark BCBS of PA | Managed Care | $71.32 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $71.50 | ↓ -17% |
| InterGroup | PPO | $71.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $82.69 | ↓ -4% |
| UPMC Health Plan | Commercial | $83.07 | ↓ -3% |
| Coventry/First Health | Commercial | $100.10 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $106.98 | ↑ +25% |
| Preferred Healthcare System | PPO | $114.40 | ↑ +33% |
| Humana | Commercial | $121.55 | ↑ +42% |
| Private Health Care Systems | PPO | $121.55 | ↑ +42% |
| Multiplan | PPO | $131.56 | ↑ +53% |
| UPMC Health Plan | CHIP | $134.18 | ↑ +56% |
Visitor-reported prices
Comments
Destruction 2-14 lesions 17003 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $108.60 | $4.67 – $29.39 |
| UPMC St. Margaret | Pittsburgh | $85.80 | $4.67 – $22.58 |
| UPMC Altoona | Altoona | $26.40 | $4.25 – $35.20 |
| UPMC Carlisle | Carlisle | $72.60 | $5.40 – $102.85 |
| UPMC Cole | Coudersport | $30.60 | $4.46 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $72.60 | $5.40 – $134.18 |
| UPMC Hanover | Hanover | $72.60 | $5.40 – $23.63 |
| UPMC Kane | Kane | $46.80 | $4.67 – $27.67 |