Explore penetrating wnd/extremity 20103 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$4,963.20
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.
$8,272.00
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.
$824.80 with UPMC Work Partners vs $7,610.24 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $824.80 | ↓ -83% |
| UPMC Health Plan | Commercial | $973.59 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $975.80 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $1,445.68 | ↓ -71% |
| Aetna | CHIP/Medicaid | $1,488.96 | ↓ -70% |
| UPMC Health Plan | CHIP | $1,572.48 | ↓ -68% |
| UPMC Health Plan | Partners/Select | $1,584.55 | ↓ -68% |
| Aetna of PA | Medicare | $1,621.93 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,668.12 | ↓ -66% |
| United Healthcare | Medicare | $1,668.28 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $1,668.28 | ↓ -66% |
| Aetna | Medicare | $1,699.17 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,823.08 | ↓ -43% |
| Aetna | Neighborhood Network | $2,977.92 | ↓ -40% |
| Aetna | EBR FI | $3,226.08 | ↓ -35% |
| Aetna | Home Depot Employer Group | $3,242.62 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,273.15 | ↓ -34% |
| Aetna | EBR ASO | $3,308.80 | ↓ -33% |
| Cigna | Commercial | $3,308.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $3,308.80 | ↓ -33% |
| Cigna | New Business ASO | $3,308.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $3,780.63 | ↓ -24% |
| InterGroup | PPO | $4,136.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,383.48 | ↓ -12% |
| Geisinger | Medicaid/CHIP | $4,549.60 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,549.60 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $5,670.97 | ↑ +14% |
| Coventry/First Health | Commercial | $5,790.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $6,617.60 | ↑ +33% |
| Private Health Care Systems | PPO | $7,031.20 | ↑ +42% |
| Humana | Commercial | $7,031.20 | ↑ +42% |
| Multiplan | PPO | $7,610.24 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Explore penetrating wnd/extremity 20103 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,421.60 | $862.13 – $1,699.17 |
| UPMC Passavant-McCandless | Pittsburgh | $1,954.20 | $710.76 – $1,699.17 |
| UPMC Presbyterian | Pittsburgh | $5,807.40 | $598.24 – $1,699.17 |
| UPMC St. Margaret | Pittsburgh | $4,569.00 | $705.73 – $1,699.17 |
| UPMC Altoona | Altoona | $3,792.60 | $767.96 – $5,056.80 |
| UPMC Bedford | Everett | $2,151.00 | $557.33 – $3,226.50 |
| UPMC Carlisle | Carlisle | $5,344.20 | $803.68 – $7,570.95 |
| UPMC Cole | Coudersport | $1,834.80 | $297.99 – $1,041.88 |