Destruction premal lesions 15/> 17004 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,739.60
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.
$4,566.00
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.
$128.03 with UPMC Health Plan vs $4,200.72 with Multiplan — 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 | $128.03 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $128.03 | ↓ -95% |
| Aetna | CHIP/Medicaid | $151.31 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $172.61 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $181.18 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $184.18 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $198.35 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $355.69 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $356.48 | ↓ -87% |
| UPMC Health Plan | Partners/Select | $390.73 | ↓ -86% |
| Aetna of PA | Medicare | $399.94 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $407.64 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $411.33 | ↓ -85% |
| United Healthcare | Medicare | $411.37 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $411.37 | ↓ -85% |
| Aetna | Medicare | $418.99 | ↓ -85% |
| UPMC Health Plan | Commercial | $469.63 | ↓ -83% |
| UPMC Health Plan | CHIP | $758.52 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,029.05 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,193.10 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $1,378.09 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,597.83 | ↓ -42% |
| Aetna | Neighborhood Network | $1,643.76 | ↓ -40% |
| Aetna | EBR FI | $1,780.74 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,789.87 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,826.40 | ↓ -33% |
| Cigna | Commercial | $1,826.40 | ↓ -33% |
| Aetna | EBR ASO | $1,826.40 | ↓ -33% |
| Cigna | New Business ASO | $1,826.40 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $2,067.14 | ↓ -25% |
| InterGroup | PPO | $2,283.00 | ↓ -17% |
| Coventry/First Health | Commercial | $3,196.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $3,652.80 | ↑ +33% |
| Private Health Care Systems | PPO | $3,881.10 | ↑ +42% |
| Humana | Commercial | $3,881.10 | ↑ +42% |
| Multiplan | PPO | $4,200.72 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Destruction premal lesions 15/> 17004 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $1,443.00 | $128.03 – $530.66 |
| UPMC St. Margaret | Pittsburgh | $1,664.40 | $128.03 – $407.64 |
| UPMC Carlisle | Carlisle | $532.80 | $121.66 – $754.80 |
| UPMC Cole | Coudersport | $175.20 | $36.04 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $532.80 | $147.82 – $758.52 |
| UPMC Hanover | Hanover | $532.80 | $147.82 – $610.67 |
| UPMC Lititz | Lititz | $532.80 | $147.82 – $613.97 |
| UPMC Memorial | York | $532.80 | $147.82 – $612.98 |