Drainage of abdomen at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$14,229.60
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.
$23,716.00
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.
$1,943.66 with Aetna vs $21,818.72 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 |
|---|---|---|---|
| Aetna | Medicare | $1,943.66 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $2,102.82 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,934.98 | ↓ -79% |
| Aetna | CHIP/Medicaid | $4,268.88 | ↓ -70% |
| UPMC Health Plan | CHIP | $8,300.60 | ↓ -42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $8,491.18 | ↓ -40% |
| Aetna | Neighborhood Network | $8,537.76 | ↓ -40% |
| Aetna | EBR FI | $9,249.24 | ↓ -35% |
| Aetna | Home Depot Employer Group | $9,296.67 | ↓ -35% |
| Cigna | New Business ASO | $9,486.40 | ↓ -33% |
| Aetna | EBR ASO | $9,486.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $9,486.40 | ↓ -33% |
| Cigna | Commercial | $9,486.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $9,844.88 | ↓ -31% |
| UPMC Health Plan | Commercial | $10,316.46 | ↓ -28% |
| Highmark BCBS of PA | Managed Care | $11,371.26 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $11,858.00 | ↓ -17% |
| InterGroup | PPO | $11,858.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $13,043.80 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $13,043.80 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $13,184.48 | ↓ -7% |
| Coventry/First Health | Commercial | $16,601.20 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $17,056.97 | ↑ +20% |
| Preferred Healthcare System | PPO | $18,972.80 | ↑ +33% |
| Humana | Commercial | $20,158.60 | ↑ +42% |
| Private Health Care Systems | PPO | $20,158.60 | ↑ +42% |
| Multiplan | PPO | $21,818.72 | ↑ +53% |
Visitor-reported prices
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Drainage of abdomen at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $18,104.40 | $610.80 – $2,934.98 |
| UPMC St. Margaret | Pittsburgh | $6,460.20 | $2,102.82 – $2,934.98 |
| UPMC McKeesport | Mckeesport | $12,609.60 | $1,943.66 – $2,934.98 |