Esophagoscopy/flex/diagnostic 43200 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,410.20
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.
?
What you pay up front if you don't use insurance.
$4,017.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$102.82 with UPMC Health Plan vs $3,486.80 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Health Plan | Managed Medicaid | $102.82 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $102.82 | ↓ -96% |
| Aetna | CHIP/Medicaid | $121.51 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $138.62 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $145.50 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $147.91 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $159.29 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $483.66 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $550.23 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $836.55 | ↓ -65% |
| UPMC Health Plan | Partners/Select | $916.91 | ↓ -62% |
| Aetna of PA | Medicare | $938.54 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $965.27 | ↓ -60% |
| United Healthcare | Medicare | $965.36 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $965.36 | ↓ -60% |
| Aetna | Medicare | $983.24 | ↓ -59% |
| UPMC Health Plan | Commercial | $1,072.75 | ↓ -55% |
| Aetna | Neighborhood Network | $1,364.40 | ↓ -43% |
| Aetna | EBR FI | $1,478.10 | ↓ -39% |
| Aetna | Home Depot Employer Group | $1,485.68 | ↓ -38% |
| Cigna | Commercial | $1,516.00 | ↓ -37% |
| Cigna | New Business ASO | $1,516.00 | ↓ -37% |
| Aetna | EBR ASO | $1,516.00 | ↓ -37% |
| Aetna | NBR ASO/FI | $1,516.00 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,591.86 | ↓ -34% |
| UPMC Health Plan | CHIP | $1,732.64 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,845.64 | ↓ -23% |
| InterGroup | PPO | $1,895.00 | ↓ -21% |
| Highmark BCBS of PA | Managed Care | $2,131.80 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,471.73 | ↑ +3% |
| Coventry/First Health | Commercial | $2,653.00 | ↑ +10% |
| Preferred Healthcare System | PPO | $3,032.00 | ↑ +26% |
| Highmark BCBS of PA | UPMC Emergent | $3,197.71 | ↑ +33% |
| Humana | Commercial | $3,221.50 | ↑ +34% |
| Private Health Care Systems | PPO | $3,221.50 | ↑ +34% |
| Multiplan | PPO | $3,486.80 | ↑ +45% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Esophagoscopy/flex/diagnostic 43200 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,978.40 | $102.82 – $983.24 |
| UPMC Passavant-McCandless | Pittsburgh | $1,895.40 | $102.82 – $983.24 |
| UPMC Presbyterian | Pittsburgh | $3,235.80 | $102.82 – $1,062.00 |
| UPMC St. Margaret | Pittsburgh | not published | $102.82 – $983.24 |
| UPMC Altoona | Altoona | $2,769.00 | $93.47 – $3,692.00 |
| UPMC Carlisle | Carlisle | $1,509.00 | $118.71 – $2,137.75 |
| UPMC Cole | Coudersport | $320.40 | $98.14 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $1,509.00 | $118.71 – $2,137.75 |