Episiotomy/vag rpr oth/thn attending phys 59300 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,973.40
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.
$3,289.00
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.
$336.29 with UPMC Work Partners vs $3,334.43 with Aetna — 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 Work Partners | Workers Comp | $336.29 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $345.41 | ↓ -82% |
| Aetna | CHIP/Medicaid | $592.02 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $999.30 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,158.61 | ↓ -41% |
| Aetna | Neighborhood Network | $1,184.04 | ↓ -40% |
| Aetna | EBR FI | $1,282.71 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,289.29 | ↓ -35% |
| Aetna | EBR ASO | $1,315.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,315.60 | ↓ -33% |
| Cigna | Commercial | $1,315.60 | ↓ -33% |
| Cigna | New Business ASO | $1,315.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $1,338.24 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,551.64 | ↓ -21% |
| InterGroup | PPO | $1,644.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $1,808.95 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,808.95 | ↓ -8% |
| UPMC Health Plan | Commercial | $1,964.83 | ↓ -0% |
| Highmark BCBS of PA | UPMC Emergent | $2,007.38 | ↑ +2% |
| Coventry/First Health | Commercial | $2,302.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $2,631.20 | ↑ +33% |
| Humana | Commercial | $2,795.65 | ↑ +42% |
| Private Health Care Systems | PPO | $2,795.65 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $2,836.99 | ↑ +44% |
| Multiplan | PPO | $3,025.88 | ↑ +53% |
| UPMC Health Plan | Partners/Select | $3,109.51 | ↑ +58% |
| UPMC Health Plan | CHIP | $3,173.46 | ↑ +61% |
| Aetna of PA | Medicare | $3,182.86 | ↑ +61% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,273.50 | ↑ +66% |
| AmeriHealth Caritas | Medicare | $3,273.80 | ↑ +66% |
| United Healthcare | Medicare | $3,273.80 | ↑ +66% |
| Aetna | Medicare | $3,334.43 | ↑ +69% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Episiotomy/vag rpr oth/thn attending phys 59300 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,964.40 | $336.29 – $3,334.43 |
| UPMC Carlisle | Carlisle | $5,964.60 | $431.14 – $8,449.85 |
| UPMC Community Osteopathic | Harrisburg | $5,964.60 | $336.31 – $8,449.85 |
| UPMC Northwest | Seneca | $2,236.20 | $321.36 – $3,273.80 |
| UPMC Hanover | Hanover | $5,964.60 | $336.31 – $4,859.86 |
| UPMC Lititz | Lititz | $5,964.60 | $431.14 – $4,886.10 |
| UPMC Memorial | York | $5,964.60 | $278.87 – $4,878.16 |
| UPMC Somerset | Somerset | $5,964.60 | $50.26 – $3,273.50 |