Excision benign lesion trunk/arms/legs > 4.0 cm at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$5,442.60
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.
$9,071.00
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.
$129.25 with United Healthcare Community Plan for Families vs $8,345.32 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $129.25 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $129.25 | ↓ -98% |
| Aetna | CHIP/Medicaid | $152.75 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $174.25 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $182.91 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $185.93 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $200.24 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $562.76 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $736.75 | ↓ -86% |
| UPMC Health Plan | Commercial | $1,433.96 | ↓ -74% |
| UPMC Health Plan | Managed Medicare | $1,445.68 | ↓ -73% |
| UPMC Health Plan | Partners/Select | $1,584.55 | ↓ -71% |
| Aetna of PA | Medicare | $1,621.93 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,668.12 | ↓ -69% |
| United Healthcare | Medicare | $1,668.28 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $1,668.28 | ↓ -69% |
| Aetna | Medicare | $1,699.17 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,131.49 | ↓ -61% |
| UPMC Health Plan | CHIP | $2,316.05 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,471.31 | ↓ -55% |
| Highmark BCBS of PA | Managed Care | $2,854.47 | ↓ -48% |
| Aetna | Neighborhood Network | $3,265.56 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,309.63 | ↓ -39% |
| Aetna | EBR FI | $3,537.69 | ↓ -35% |
| Aetna | Home Depot Employer Group | $3,555.83 | ↓ -35% |
| Cigna | New Business ASO | $3,628.40 | ↓ -33% |
| Aetna | EBR ASO | $3,628.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $3,628.40 | ↓ -33% |
| Cigna | Commercial | $3,628.40 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $4,281.72 | ↓ -21% |
| InterGroup | PPO | $4,535.50 | ↓ -17% |
| Coventry/First Health | Commercial | $6,349.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $7,256.80 | ↑ +33% |
| Humana | Commercial | $7,710.35 | ↑ +42% |
| Private Health Care Systems | PPO | $7,710.35 | ↑ +42% |
| Multiplan | PPO | $8,345.32 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Excision benign lesion trunk/arms/legs > 4.0 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $3,265.20 | $129.25 – $1,699.17 |
| UPMC St. Margaret | Pittsburgh | $3,556.80 | $129.25 – $1,699.17 |
| UPMC Mercy | Pittsburgh | not published | $129.25 – $1,699.17 |
| UPMC Carlisle | Carlisle | $2,925.00 | $149.22 – $4,143.75 |
| UPMC Cole | Coudersport | $249.00 | $51.00 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $2,925.00 | $149.22 – $4,143.75 |
| UPMC Hanover | Hanover | $2,925.00 | $149.22 – $2,476.51 |
| UPMC Kane | Kane | $1,398.60 | $129.25 – $1,335.11 |