Insert cath pleura with image at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$4,810.20
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.
$8,017.00
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.
$773.96 with Highmark BCBS of PA vs $7,375.64 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 | $773.96 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $1,283.30 | ↓ -73% |
| UPMC Health Plan | Managed Medicare | $1,386.09 | ↓ -71% |
| Aetna | CHIP/Medicaid | $1,443.06 | ↓ -70% |
| UPMC Health Plan | Partners/Select | $1,519.23 | ↓ -68% |
| Aetna of PA | Medicare | $1,555.07 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,599.35 | ↓ -67% |
| United Healthcare | Medicare | $1,599.50 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $1,599.50 | ↓ -67% |
| Aetna | Medicare | $1,629.12 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,239.15 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,596.13 | ↓ -46% |
| Aetna | Neighborhood Network | $2,886.12 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $2,998.64 | ↓ -38% |
| Aetna | EBR FI | $3,126.63 | ↓ -35% |
| Aetna | Home Depot Employer Group | $3,142.66 | ↓ -35% |
| Aetna | NBR ASO/FI | $3,206.80 | ↓ -33% |
| Aetna | EBR ASO | $3,206.80 | ↓ -33% |
| Cigna | New Business ASO | $3,206.80 | ↓ -33% |
| Cigna | Commercial | $3,206.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,476.79 | ↓ -28% |
| UPMC Health Plan | Commercial | $3,537.01 | ↓ -26% |
| UPMC Health Plan | CHIP | $3,895.92 | ↓ -19% |
| InterGroup | PPO | $4,008.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,409.35 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $4,409.35 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $4,497.97 | ↓ -6% |
| Coventry/First Health | Commercial | $5,611.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $6,413.60 | ↑ +33% |
| Humana | Commercial | $6,814.45 | ↑ +42% |
| Private Health Care Systems | PPO | $6,814.45 | ↑ +42% |
| Multiplan | PPO | $7,375.64 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insert cath pleura with image at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,703.60 | $766.66 – $1,629.12 |
| UPMC Passavant-McCandless | Pittsburgh | $4,552.20 | $773.96 – $1,629.12 |
| UPMC Presbyterian | Pittsburgh | $4,692.00 | $773.96 – $2,207.73 |
| UPMC St. Margaret | Pittsburgh | $4,012.80 | $773.96 – $1,629.12 |
| UPMC Altoona | Altoona | $1,942.80 | $766.66 – $2,590.40 |
| UPMC Bedford | Everett | $2,611.20 | $534.35 – $3,916.80 |
| UPMC Carlisle | Carlisle | $10,384.20 | $817.33 – $14,710.95 |
| UPMC Cole | Coudersport | $396.00 | $79.00 – $1,283.30 |