Endocerv curettage w/scope 57456 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$786.00
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.
$1,310.00
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.
$104.51 with United Healthcare Community Plan for Families vs $1,462.54 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $104.51 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $104.51 | ↓ -87% |
| Aetna | CHIP/Medicaid | $123.51 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $140.90 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $147.90 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $150.34 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $161.92 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $251.66 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $261.11 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $271.42 | ↓ -65% |
| UPMC Health Plan | Partners/Select | $297.49 | ↓ -62% |
| Aetna of PA | Medicare | $304.51 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $313.18 | ↓ -60% |
| United Healthcare | Medicare | $313.21 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $313.21 | ↓ -60% |
| Aetna | Medicare | $319.01 | ↓ -59% |
| UPMC Health Plan | Commercial | $429.62 | ↓ -45% |
| Aetna | Neighborhood Network | $471.60 | ↓ -40% |
| Aetna | EBR FI | $510.90 | ↓ -35% |
| Aetna | Home Depot Employer Group | $513.52 | ↓ -35% |
| Aetna | NBR ASO/FI | $524.00 | ↓ -33% |
| Cigna | New Business ASO | $524.00 | ↓ -33% |
| Cigna | Commercial | $524.00 | ↓ -33% |
| Aetna | EBR ASO | $524.00 | ↓ -33% |
| InterGroup | PPO | $655.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $693.90 | ↓ -12% |
| Highmark BCBS of PA | Managed Care - Social Mission | $728.07 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $844.14 | ↑ +7% |
| Coventry/First Health | Commercial | $917.00 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $975.02 | ↑ +24% |
| Preferred Healthcare System | PPO | $1,048.00 | ↑ +33% |
| Private Health Care Systems | PPO | $1,113.50 | ↑ +42% |
| Humana | Commercial | $1,113.50 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,130.49 | ↑ +44% |
| Multiplan | PPO | $1,205.20 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $1,462.54 | ↑ +86% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Endocerv curettage w/scope 57456 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $1,491.60 | $104.51 – $931.20 |
| UPMC Altoona | Altoona | $192.00 | $95.01 – $261.11 |
| UPMC Community Osteopathic | Harrisburg | $615.60 | $120.66 – $1,016.56 |
| UPMC Hanover | Hanover | $615.60 | $120.66 – $1,016.56 |
| UPMC Memorial | York | $615.60 | $120.66 – $1,016.56 |
| UPMC Somerset | Somerset | $615.60 | $104.51 – $892.40 |
| UPMC Wellsboro | Wellsboro | $232.00 | $104.51 – $993.28 |
| UPMC Williamsport | Williamsport | $218.40 | $104.51 – $993.28 |