Gi tract capsule endoscopy (pillcam) 91110 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,930.60
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.
$6,551.00
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.
$651.78 with Highmark BCBS of PA vs $5,685.60 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $651.78 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $748.25 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $748.25 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $836.55 | ↓ -79% |
| Aetna | CHIP/Medicaid | $884.30 | ↓ -78% |
| UPMC Health Plan | Partners/Select | $916.91 | ↓ -77% |
| Aetna of PA | Medicare | $938.54 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $965.27 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $965.36 | ↓ -75% |
| United Healthcare | Medicare | $965.36 | ↓ -75% |
| Aetna | Medicare | $983.24 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,008.78 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $1,058.91 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,076.40 | ↓ -73% |
| UPMC Health Plan | CHIP | $1,118.66 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,159.25 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $1,654.65 | ↓ -58% |
| UPMC Health Plan | Commercial | $1,728.14 | ↓ -56% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,989.15 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,186.30 | ↓ -44% |
| Aetna | Neighborhood Network | $2,224.80 | ↓ -43% |
| Aetna | EBR FI | $2,410.20 | ↓ -39% |
| Aetna | Home Depot Employer Group | $2,422.56 | ↓ -38% |
| Cigna | Commercial | $2,472.00 | ↓ -37% |
| Aetna | EBR ASO | $2,472.00 | ↓ -37% |
| Aetna | NBR ASO/FI | $2,472.00 | ↓ -37% |
| Cigna | New Business ASO | $2,472.00 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $2,663.89 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,927.94 | ↓ -26% |
| InterGroup | PPO | $3,090.00 | ↓ -21% |
| Highmark BCBS of PA | UPMC Emergent | $3,995.83 | ↑ +2% |
| Coventry/First Health | Commercial | $4,326.00 | ↑ +10% |
| Preferred Healthcare System | PPO | $4,944.00 | ↑ +26% |
| Private Health Care Systems | PPO | $5,253.00 | ↑ +34% |
| Humana | Commercial | $5,253.00 | ↑ +34% |
| Multiplan | PPO | $5,685.60 | ↑ +45% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,516.20 | $645.64 – $1,908.62 |
| UPMC Passavant-McCandless | Pittsburgh | $4,451.40 | $651.78 – $1,924.01 |
| UPMC Presbyterian | Pittsburgh | $2,521.80 | $632.99 – $2,219.33 |
| UPMC St. Margaret | Pittsburgh | $2,595.00 | $651.78 – $1,654.65 |
| UPMC Carlisle | Carlisle | $1,191.00 | $271.94 – $1,731.61 |
| UPMC Cole | Coudersport | $1,944.60 | $271.38 – $1,654.65 |
| UPMC Community Osteopathic | Harrisburg | $1,191.00 | $397.00 – $1,731.61 |
| UPMC East | Monroeville | $2,349.60 | $651.78 – $3,132.80 |