Ghs block ilioinguinal/gentitofemoral at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$866.40
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.
$1,444.00
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.
$38.50 with UPMC Health Plan vs $1,328.48 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 Health Plan | Managed Medicaid | $38.50 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $38.50 | ↓ -96% |
| Aetna | CHIP/Medicaid | $45.50 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $51.91 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $54.48 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.38 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $59.65 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $199.51 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $206.41 | ↓ -76% |
| UPMC Health Plan | Commercial | $393.49 | ↓ -55% |
| Aetna | Neighborhood Network | $519.84 | ↓ -40% |
| Aetna | EBR FI | $563.16 | ↓ -35% |
| Aetna | Home Depot Employer Group | $566.05 | ↓ -35% |
| Cigna | New Business ASO | $577.60 | ↓ -33% |
| Aetna | EBR ASO | $577.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $577.60 | ↓ -33% |
| Cigna | Commercial | $577.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $597.18 | ↓ -31% |
| UPMC Health Plan | Managed Medicare | $617.91 | ↓ -29% |
| UPMC Health Plan | CHIP | $635.54 | ↓ -27% |
| UPMC Health Plan | Partners/Select | $677.26 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $692.38 | ↓ -20% |
| Aetna of PA | Medicare | $693.24 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $712.98 | ↓ -18% |
| AmeriHealth Caritas | Medicare | $713.05 | ↓ -18% |
| United Healthcare | Medicare | $713.05 | ↓ -18% |
| InterGroup | PPO | $722.00 | ↓ -17% |
| Aetna | Medicare | $726.25 | ↓ -16% |
| Highmark BCBS of PA | Managed Care | $799.73 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $927.26 | ↑ +7% |
| Coventry/First Health | Commercial | $1,010.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,155.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $1,199.61 | ↑ +38% |
| Private Health Care Systems | PPO | $1,227.40 | ↑ +42% |
| Humana | Commercial | $1,227.40 | ↑ +42% |
| Multiplan | PPO | $1,328.48 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs block ilioinguinal/gentitofemoral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,094.40 | $38.50 – $726.25 |
| UPMC Passavant-McCandless | Pittsburgh | $417.00 | $38.50 – $726.25 |
| UPMC Presbyterian | Pittsburgh | $1,647.60 | $38.50 – $931.20 |
| UPMC St. Margaret | Pittsburgh | $672.00 | $38.50 – $726.25 |
| UPMC Cole | Coudersport | $123.00 | $25.78 – $771.51 |
| UPMC Hamot | Erie | $1,133.40 | $38.50 – $960.26 |
| UPMC Northwest | Seneca | $1,260.60 | $38.50 – $693.24 |
| UPMC Horizon-Greenville | Greenville | $908.40 | $38.50 – $713.05 |