Hysteroscopy ablation at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,295.20
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.
$5,492.00
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.
$347.49 with UPMC Health Plan vs $5,176.94 with Aetna — 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 | $347.49 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $347.49 | ↓ -89% |
| Aetna | CHIP/Medicaid | $410.67 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $468.48 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $491.76 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $499.88 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $538.36 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $763.39 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $844.93 | ↓ -74% |
| UPMC Health Plan | Commercial | $1,632.43 | ↓ -50% |
| Aetna | Neighborhood Network | $1,977.12 | ↓ -40% |
| Aetna | EBR FI | $2,141.88 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,152.86 | ↓ -35% |
| Cigna | New Business ASO | $2,196.80 | ↓ -33% |
| Aetna | EBR ASO | $2,196.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $2,196.80 | ↓ -33% |
| Cigna | Commercial | $2,196.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,444.47 | ↓ -26% |
| UPMC Health Plan | CHIP | $2,636.59 | ↓ -20% |
| InterGroup | PPO | $2,746.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,834.18 | ↓ -14% |
| Highmark BCBS of PA | Managed Care | $3,273.60 | ↓ -1% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,795.60 | ↑ +15% |
| Coventry/First Health | Commercial | $3,844.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $4,393.60 | ↑ +33% |
| UPMC Health Plan | Managed Medicare | $4,404.64 | ↑ +34% |
| Private Health Care Systems | PPO | $4,668.20 | ↑ +42% |
| Humana | Commercial | $4,668.20 | ↑ +42% |
| UPMC Health Plan | Partners/Select | $4,827.73 | ↑ +47% |
| Highmark BCBS of PA | UPMC Emergent | $4,910.42 | ↑ +49% |
| Aetna of PA | Medicare | $4,941.63 | ↑ +50% |
| Multiplan | PPO | $5,052.64 | ↑ +53% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,082.34 | ↑ +54% |
| United Healthcare | Medicare | $5,082.81 | ↑ +54% |
| AmeriHealth Caritas | Medicare | $5,082.81 | ↑ +54% |
| Aetna | Medicare | $5,176.94 | ↑ +57% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Hysteroscopy ablation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | not published | $347.49 – $5,176.94 |
| UPMC Cole | Coudersport | $660.60 | $305.20 – $1,470.59 |
| Uniontown Hospital | Uniontown | $1,711.50 | $205.80 – $10,070.65 |
| UPMC Altoona | Altoona | not published | $315.90 – $5,082.81 |
| UPMC Bedford | Everett | not published | $331.69 – $5,082.81 |
| UPMC Carlisle | Carlisle | not published | $401.19 – $7,555.70 |
| UPMC Community Osteopathic | Harrisburg | not published | $426.46 – $9,755.55 |
| UPMC East | Monroeville | not published | $347.49 – $5,176.94 |