Hysteroscopy dx sep proc at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$681.00
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.
$1,135.00
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.
$191.70 with UPMC Health Plan vs $3,334.43 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 | $191.70 | ↓ -72% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $191.70 | ↓ -72% |
| Aetna | CHIP/Medicaid | $226.55 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $258.44 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $271.29 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $275.76 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $296.99 | ↓ -56% |
| Aetna | Neighborhood Network | $408.60 | ↓ -40% |
| UPMC Work Partners | Workers Comp | $442.24 | ↓ -35% |
| Aetna | EBR FI | $442.65 | ↓ -35% |
| Aetna | Home Depot Employer Group | $444.92 | ↓ -35% |
| Cigna | New Business ASO | $454.00 | ↓ -33% |
| Aetna | EBR ASO | $454.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $454.00 | ↓ -33% |
| Cigna | Commercial | $454.00 | ↓ -33% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $550.23 | ↓ -19% |
| InterGroup | PPO | $567.50 | ↓ -17% |
| Coventry/First Health | Commercial | $794.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $908.00 | ↑ +33% |
| Humana | Commercial | $964.75 | ↑ +42% |
| Private Health Care Systems | PPO | $964.75 | ↑ +42% |
| Multiplan | PPO | $1,044.20 | ↑ +53% |
| UPMC Health Plan | Commercial | $1,060.44 | ↑ +56% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,591.86 | ↑ +134% |
| UPMC Health Plan | CHIP | $1,712.76 | ↑ +152% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,845.64 | ↑ +171% |
| Highmark BCBS of PA | Managed Care | $2,131.80 | ↑ +213% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,471.73 | ↑ +263% |
| UPMC Health Plan | Managed Medicare | $2,836.99 | ↑ +317% |
| UPMC Health Plan | Partners/Select | $3,109.51 | ↑ +357% |
| Aetna of PA | Medicare | $3,182.86 | ↑ +367% |
| Highmark BCBS of PA | UPMC Emergent | $3,197.71 | ↑ +370% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,273.50 | ↑ +381% |
| United Healthcare | Medicare | $3,273.80 | ↑ +381% |
| AmeriHealth Caritas | Medicare | $3,273.80 | ↑ +381% |
| Aetna | Medicare | $3,334.43 | ↑ +390% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Hysteroscopy dx sep proc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $366.60 | $169.37 – $771.51 |
| Uniontown Hospital | Uniontown | $1,279.50 | $191.70 – $6,516.82 |
| UPMC Bedford | Everett | not published | $182.98 – $3,273.80 |
| UPMC Carlisle | Carlisle | not published | $221.32 – $4,866.56 |
| UPMC Community Osteopathic | Harrisburg | not published | $235.26 – $5,805.45 |
| UPMC Hanover | Hanover | not published | $221.32 – $4,859.86 |
| UPMC Lititz | Lititz | not published | $221.32 – $4,886.10 |
| UPMC Somerset | Somerset | not published | $191.70 – $3,031.30 |