Fem/popl revasc w/stent at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
not published by hospital
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.
not published by hospital
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.
$10,118.83 with UPMC Health Plan vs $94,301.49 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $10,118.83 | — |
| UPMC Health Plan | Partners/Select | $11,090.82 | — |
| Aetna of PA | Medicare | $11,352.46 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $11,675.74 | — |
| AmeriHealth Caritas | Medicare | $11,676.82 | — |
| United Healthcare | Medicare | $11,676.82 | — |
| Aetna | Medicare | $11,893.06 | — |
| UPMC Work Partners | Workers Comp | $13,195.02 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $16,226.38 | — |
| UPMC Health Plan | Commercial | $18,746.55 | — |
| UPMC Health Plan | CHIP | $20,648.82 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $46,944.51 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $54,428.62 | — |
| Highmark BCBS of PA | Managed Care | $62,867.37 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $72,892.02 | — |
| Highmark BCBS of PA | UPMC Emergent | $94,301.49 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $34,849.20 | $468.11 – $16,073.32 |
| UPMC Passavant-McCandless | Pittsburgh | $38,983.80 | $10,047.47 – $16,226.38 |
| UPMC Presbyterian | Pittsburgh | $41,308.20 | $468.11 – $17,316.38 |
| UPMC St. Margaret | Pittsburgh | $35,730.60 | $9,334.97 – $16,226.38 |
| UPMC Altoona | Altoona | $34,982.40 | $11,025.95 – $46,643.20 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $67,293.00 | $10,841.06 – $89,724.00 |