Endo abl/incom vein/ext/laser/#1 36478 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$15,453.60
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.
$25,756.00
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.
$2,347.64 with UPMC Health Plan vs $23,695.52 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 | Commercial | $2,347.64 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $2,808.41 | ↓ -82% |
| UPMC Health Plan | Partners/Select | $3,078.18 | ↓ -80% |
| Aetna of PA | Medicare | $3,150.80 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↓ -79% |
| United Healthcare | Medicare | $3,240.82 | ↓ -79% |
| Aetna | Medicare | $3,300.84 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $3,456.26 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3,545.74 | ↓ -77% |
| UPMC Health Plan | CHIP | $3,791.76 | ↓ -75% |
| Aetna | CHIP/Medicaid | $4,636.08 | ↓ -70% |
| Aetna | Neighborhood Network | $9,272.16 | ↓ -40% |
| Aetna | EBR FI | $10,044.84 | ↓ -35% |
| Aetna | Home Depot Employer Group | $10,096.35 | ↓ -35% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10,258.18 | ↓ -34% |
| Cigna | Commercial | $10,302.40 | ↓ -33% |
| Cigna | New Business ASO | $10,302.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $10,302.40 | ↓ -33% |
| Aetna | EBR ASO | $10,302.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $11,893.58 | ↓ -23% |
| InterGroup | PPO | $12,878.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $13,737.60 | ↓ -11% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $14,165.80 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $14,165.80 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $15,928.15 | ↑ +3% |
| Coventry/First Health | Commercial | $18,029.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $20,604.80 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $20,606.49 | ↑ +33% |
| Humana | Commercial | $21,892.60 | ↑ +42% |
| Private Health Care Systems | PPO | $21,892.60 | ↑ +42% |
| Multiplan | PPO | $23,695.52 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Endo abl/incom vein/ext/laser/#1 36478 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $24,475.20 | $931.20 – $4,733.15 |
| UPMC St. Margaret | Pittsburgh | $16,984.80 | $1,701.76 – $3,545.74 |
| UPMC Community Osteopathic | Harrisburg | $7,047.00 | $1,016.56 – $9,983.25 |
| UPMC Hamot | Erie | $19,470.00 | $3,456.26 – $4,364.40 |
| UPMC Horizon-Greenville | Greenville | $14,836.80 | $2,056.89 – $5,630.93 |
| UPMC Memorial | York | $7,047.00 | $1,016.56 – $4,829.02 |
| UPMC Somerset | Somerset | $7,047.00 | $892.40 – $3,456.26 |
| UPMC Williamsport | Williamsport | $3,715.20 | $993.28 – $3,817.96 |