Esophageal dilat s&i at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$694.80
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.
$1,158.00
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.
$106.75 with Aetna vs $1,065.36 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 | $106.75 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $119.23 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $119.23 | ↓ -83% |
| Aetna | CHIP/Medicaid | $140.91 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $160.74 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $168.73 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $169.39 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $171.52 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $184.72 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $364.06 | ↓ -48% |
| Aetna | Neighborhood Network | $416.88 | ↓ -40% |
| UPMC Health Plan | Commercial | $429.84 | ↓ -38% |
| Aetna | EBR FI | $451.62 | ↓ -35% |
| Aetna | Home Depot Employer Group | $453.94 | ↓ -35% |
| Cigna | New Business ASO | $463.20 | ↓ -33% |
| Aetna | EBR ASO | $463.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $463.20 | ↓ -33% |
| Cigna | Commercial | $463.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $490.07 | ↓ -29% |
| UPMC Health Plan | CHIP | $539.22 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $568.20 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $579.00 | ↓ -17% |
| InterGroup | PPO | $579.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $656.29 | ↓ -6% |
| Highmark BCBS of PA | Commercial - Indemnity | $760.94 | ↑ +10% |
| Coventry/First Health | Commercial | $810.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $926.40 | ↑ +33% |
| Private Health Care Systems | PPO | $984.30 | ↑ +42% |
| Humana | Commercial | $984.30 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $984.44 | ↑ +42% |
| Multiplan | PPO | $1,065.36 | ↑ +53% |
Visitor-reported prices
Comments
Esophageal dilat s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,091.40 | $119.23 – $370.35 |
| UPMC Passavant-McCandless | Pittsburgh | $925.80 | $119.23 – $423.33 |
| UPMC Presbyterian | Pittsburgh | $1,403.40 | $98.84 – $430.64 |
| UPMC Carlisle | Carlisle | $504.60 | $107.90 – $714.85 |
| UPMC Community Osteopathic | Harrisburg | $504.60 | $107.90 – $737.72 |
| UPMC East | Monroeville | $936.00 | $119.23 – $1,248.00 |
| UPMC Hamot | Erie | $974.40 | $119.23 – $364.06 |
| UPMC Hanover | Hanover | $504.60 | $107.90 – $353.42 |