Endo cath panc duct s&i at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,267.80
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.
$2,113.00
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.
$62.55 with Aetna vs $1,943.96 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 | $62.55 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $179.43 | ↓ -86% |
| Aetna | CHIP/Medicaid | $380.34 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $385.46 | ↓ -70% |
| UPMC Health Plan | Commercial | $452.96 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $519.11 | ↓ -59% |
| UPMC Health Plan | CHIP | $568.23 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $601.87 | ↓ -53% |
| Highmark BCBS of PA | Managed Care | $695.19 | ↓ -45% |
| Aetna | Neighborhood Network | $760.68 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $806.04 | ↓ -36% |
| Aetna | EBR FI | $824.07 | ↓ -35% |
| Aetna | Home Depot Employer Group | $828.30 | ↓ -35% |
| Cigna | New Business ASO | $845.20 | ↓ -33% |
| Aetna | EBR ASO | $845.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $845.20 | ↓ -33% |
| Cigna | Commercial | $845.20 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $1,042.78 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,056.50 | ↓ -17% |
| InterGroup | PPO | $1,056.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,162.15 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $1,162.15 | ↓ -8% |
| Coventry/First Health | Commercial | $1,479.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,690.40 | ↑ +33% |
| Humana | Commercial | $1,796.05 | ↑ +42% |
| Private Health Care Systems | PPO | $1,796.05 | ↑ +42% |
| Multiplan | PPO | $1,943.96 | ↑ +53% |
Visitor-reported prices
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Endo cath panc duct s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $877.20 | $177.74 – $392.04 |
| UPMC Passavant-McCandless | Pittsburgh | $926.40 | $179.43 – $448.21 |
| UPMC Presbyterian | Pittsburgh | $1,486.80 | $179.43 – $455.86 |
| UPMC Carlisle | Carlisle | $797.40 | $182.07 – $1,129.65 |
| UPMC Community Osteopathic | Harrisburg | $797.40 | $265.80 – $1,129.65 |
| UPMC Hanover | Hanover | $797.40 | $379.49 – $568.23 |
| UPMC Jameson | New Castle | $287.40 | $56.86 – $362.63 |
| UPMC Lititz | Lititz | $797.40 | $56.86 – $568.23 |