Esophagoscopy flex dx brush at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$580.80
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.
?
What you pay up front if you don't use insurance.
$968.00
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.
$132.39 with Highmark BCBS of PA vs $983.24 with Aetna — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $132.39 | ↓ -77% |
| Aetna | CHIP/Medicaid | $164.34 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $249.74 | ↓ -57% |
| UPMC Health Plan | CHIP | $319.55 | ↓ -45% |
| Aetna | Neighborhood Network | $328.68 | ↓ -43% |
| Aetna | EBR FI | $356.07 | ↓ -39% |
| Aetna | Home Depot Employer Group | $357.90 | ↓ -38% |
| Cigna | New Business ASO | $365.20 | ↓ -37% |
| Aetna | EBR ASO | $365.20 | ↓ -37% |
| Aetna | NBR ASO/FI | $365.20 | ↓ -37% |
| Cigna | Commercial | $365.20 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $383.01 | ↓ -34% |
| UPMC Health Plan | Commercial | $397.15 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $444.07 | ↓ -24% |
| InterGroup | PPO | $456.50 | ↓ -21% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $502.15 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $502.15 | ↓ -14% |
| Highmark BCBS of PA | Managed Care | $512.92 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Indemnity | $594.71 | ↑ +2% |
| Coventry/First Health | Commercial | $639.10 | ↑ +10% |
| Preferred Healthcare System | PPO | $730.40 | ↑ +26% |
| Highmark BCBS of PA | UPMC Emergent | $769.38 | ↑ +32% |
| Private Health Care Systems | PPO | $776.05 | ↑ +34% |
| Humana | Commercial | $776.05 | ↑ +34% |
| UPMC Health Plan | Managed Medicare | $836.55 | ↑ +44% |
| Multiplan | PPO | $839.96 | ↑ +45% |
| UPMC Health Plan | Partners/Select | $916.91 | ↑ +58% |
| Aetna of PA | Medicare | $938.54 | ↑ +62% |
| Highmark Wholecare (prev Gateway) | Medicare | $965.27 | ↑ +66% |
| AmeriHealth Caritas | Medicare | $965.36 | ↑ +66% |
| United Healthcare | Medicare | $965.36 | ↑ +66% |
| Aetna | Medicare | $983.24 | ↑ +69% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Esophagoscopy flex dx brush at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,959.80 | $132.39 – $983.24 |
| UPMC Presbyterian | Pittsburgh | $3,238.80 | $132.39 – $983.24 |
| UPMC Bedford | Everett | $2,428.80 | $249.74 – $3,643.20 |
| UPMC Hamot | Erie | $3,381.60 | $131.14 – $1,300.05 |
| UPMC Muncy | Muncy | $3,526.20 | $249.74 – $993.28 |
| UPMC Wellsboro | Wellsboro | $4,264.00 | $249.74 – $993.28 |