Endoscopy swallow (fees) vid at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,413.00
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.
$2,355.00
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.
$69.17 with United Healthcare Community Plan for Families vs $2,166.60 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $69.17 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $69.17 | ↓ -95% |
| Aetna | CHIP/Medicaid | $81.74 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $93.25 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $97.89 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $99.50 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $107.16 | ↓ -92% |
| Aetna | Medicare | $201.73 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $269.02 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $316.31 | ↓ -78% |
| UPMC Health Plan | CHIP | $481.26 | ↓ -66% |
| UPMC Health Plan | Commercial | $743.48 | ↓ -47% |
| Highmark BCBS of PA | Managed Care - Social Mission | $820.99 | ↓ -42% |
| Aetna | Neighborhood Network | $847.80 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $902.37 | ↓ -36% |
| Aetna | EBR FI | $918.45 | ↓ -35% |
| Aetna | Home Depot Employer Group | $923.16 | ↓ -35% |
| Cigna | New Business ASO | $942.00 | ↓ -33% |
| Aetna | EBR ASO | $942.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $942.00 | ↓ -33% |
| Cigna | Commercial | $942.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $1,099.49 | ↓ -22% |
| InterGroup | PPO | $1,177.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,177.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,208.47 | ↓ -14% |
| Coventry/First Health | Commercial | $1,648.50 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $1,649.23 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,884.00 | ↑ +33% |
| Humana | Commercial | $2,001.75 | ↑ +42% |
| Private Health Care Systems | PPO | $2,001.75 | ↑ +42% |
| Multiplan | PPO | $2,166.60 | ↑ +53% |
Visitor-reported prices
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Endoscopy swallow (fees) vid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $691.80 | $69.17 – $361.67 |
| UPMC Presbyterian | Pittsburgh | $2,073.60 | $69.17 – $420.55 |
| UPMC St. Margaret | Pittsburgh | $1,640.40 | $69.17 – $316.31 |
| UPMC East | Monroeville | $1,639.80 | $69.17 – $2,186.40 |
| UPMC McKeesport | Mckeesport | $1,726.80 | $69.17 – $316.31 |
| UPMC Muncy | Muncy | $162.00 | $69.17 – $338.38 |
| UPMC Wellsboro | Wellsboro | $196.00 | $69.17 – $316.31 |
| UPMC Williamsport | Williamsport | $162.00 | $69.17 – $349.41 |