Expander breast 300cc mod hght extra proj smth natrelle at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,118.20
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.
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What you pay up front if you don't use insurance.
$5,197.00
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.
$111.60 with Aetna vs $5,958.48 with Highmark BCBS of PA — 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 | CHIP/Medicaid | $111.60 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $142.60 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $204.60 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $204.60 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $209.75 | ↓ -93% |
| Aetna | Neighborhood Network | $223.20 | ↓ -93% |
| Aetna | EBR FI | $241.80 | ↓ -92% |
| Aetna | Home Depot Employer Group | $243.04 | ↓ -92% |
| Aetna | NBR ASO/FI | $248.00 | ↓ -92% |
| Cigna | New Business ASO | $248.00 | ↓ -92% |
| Cigna | Commercial | $248.00 | ↓ -92% |
| Aetna | EBR ASO | $248.00 | ↓ -92% |
| InterGroup | PPO | $310.00 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $310.00 | ↓ -90% |
| Aetna | Medicare | $405.21 | ↓ -87% |
| Coventry/First Health | Commercial | $434.00 | ↓ -86% |
| Preferred Healthcare System | PPO | $496.00 | ↓ -84% |
| Humana | Commercial | $527.00 | ↓ -83% |
| Private Health Care Systems | PPO | $527.00 | ↓ -83% |
| Multiplan | PPO | $570.40 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $872.01 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,925.01 | ↓ -6% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,965.99 | ↓ -5% |
| UPMC Health Plan | CHIP | $3,464.72 | ↑ +11% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,917.24 | ↑ +26% |
| Highmark BCBS of PA | Managed Care | $3,972.30 | ↑ +27% |
| UPMC Health Plan | Commercial | $5,352.44 | ↑ +72% |
| Highmark BCBS of PA | UPMC Emergent | $5,958.48 | ↑ +91% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Expander breast 300cc mod hght extra proj smth natrelle at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,469.60 | $863.78 – $2,735.89 |
| UPMC Passavant-McCandless | Pittsburgh | $2,941.80 | $872.01 – $5,027.74 |
| UPMC Presbyterian | Pittsburgh | $4,151.40 | $872.01 – $5,601.83 |
| UPMC St. Margaret | Pittsburgh | $2,395.80 | $872.01 – $4,251.46 |
| UPMC Altoona | Altoona | $2,472.60 | $563.73 – $3,464.72 |
| UPMC East | Monroeville | $2,675.40 | $715.73 – $3,464.72 |
| UPMC Hamot | Erie | $3,432.00 | $863.78 – $863.78 |
| UPMC Horizon-Greenville | Greenville | $2,089.20 | $2,201.42 – $3,464.72 |