Ercp ea duct/ampulla dilate at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$4,176.60
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.
$6,961.00
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.
$301.80 with Highmark BCBS of PA vs $6,404.12 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $301.80 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $569.35 | ↓ -86% |
| Highmark BCBS of PA | Managed Care - Social Mission | $873.13 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,012.33 | ↓ -76% |
| Highmark BCBS of PA | Managed Care | $1,169.28 | ↓ -72% |
| Aetna | CHIP/Medicaid | $1,252.98 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,355.73 | ↓ -68% |
| Highmark BCBS of PA | UPMC Emergent | $1,753.93 | ↓ -58% |
| UPMC Health Plan | CHIP | $2,436.35 | ↓ -42% |
| Aetna | Neighborhood Network | $2,505.96 | ↓ -40% |
| Aetna | EBR FI | $2,714.79 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,728.71 | ↓ -35% |
| Aetna | EBR ASO | $2,784.40 | ↓ -33% |
| Cigna | New Business ASO | $2,784.40 | ↓ -33% |
| Cigna | Commercial | $2,784.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $2,784.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $3,028.03 | ↓ -28% |
| UPMC Health Plan | Managed Medicare | $3,394.66 | ↓ -19% |
| InterGroup | PPO | $3,480.50 | ↓ -17% |
| UPMC Health Plan | Partners/Select | $3,720.74 | ↓ -11% |
| Aetna of PA | Medicare | $3,808.52 | ↓ -9% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,828.55 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $3,828.55 | ↓ -8% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,916.97 | ↓ -6% |
| AmeriHealth Caritas | Medicare | $3,917.33 | ↓ -6% |
| United Healthcare | Medicare | $3,917.33 | ↓ -6% |
| Aetna | Medicare | $3,989.88 | ↓ -4% |
| Coventry/First Health | Commercial | $4,872.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $5,568.80 | ↑ +33% |
| Private Health Care Systems | PPO | $5,916.85 | ↑ +42% |
| Humana | Commercial | $5,916.85 | ↑ +42% |
| Multiplan | PPO | $6,404.12 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ercp ea duct/ampulla dilate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $4,282.20 | $298.95 – $3,989.88 |
| UPMC Passavant-McCandless | Pittsburgh | $2,500.80 | $301.80 – $3,989.88 |
| UPMC Presbyterian | Pittsburgh | $4,330.80 | $301.80 – $3,989.88 |
| UPMC St. Margaret | Pittsburgh | $3,576.00 | $301.80 – $3,989.88 |
| UPMC Altoona | Altoona | $3,517.80 | $298.95 – $4,690.40 |
| UPMC Cole | Coudersport | $724.80 | $334.86 – $1,041.88 |
| UPMC East | Monroeville | $3,055.20 | $301.80 – $4,073.60 |
| UPMC Hamot | Erie | $4,961.40 | $298.95 – $5,275.45 |