Insert cath pleura without image at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,370.00
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.
$3,950.00
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.
$477.16 with Highmark BCBS of PA vs $3,427.92 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 | $477.16 | ↓ -80% |
| Aetna | CHIP/Medicaid | $670.68 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $791.18 | ↓ -67% |
| UPMC Health Plan | CHIP | $1,304.10 | ↓ -45% |
| Aetna | Neighborhood Network | $1,341.36 | ↓ -43% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,380.46 | ↓ -42% |
| Aetna | EBR FI | $1,453.14 | ↓ -39% |
| Aetna | Home Depot Employer Group | $1,460.59 | ↓ -38% |
| Aetna | NBR ASO/FI | $1,490.40 | ↓ -37% |
| Aetna | EBR ASO | $1,490.40 | ↓ -37% |
| Cigna | New Business ASO | $1,490.40 | ↓ -37% |
| Cigna | Commercial | $1,490.40 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,600.54 | ↓ -32% |
| UPMC Health Plan | Commercial | $1,620.81 | ↓ -32% |
| UPMC Health Plan | Managed Medicare | $1,692.62 | ↓ -29% |
| Highmark BCBS of PA | Managed Care | $1,848.69 | ↓ -22% |
| UPMC Health Plan | Partners/Select | $1,855.21 | ↓ -22% |
| InterGroup | PPO | $1,863.00 | ↓ -21% |
| Aetna of PA | Medicare | $1,898.98 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,953.05 | ↓ -18% |
| United Healthcare | Medicare | $1,953.23 | ↓ -18% |
| AmeriHealth Caritas | Medicare | $1,953.23 | ↓ -18% |
| Aetna | Medicare | $1,989.40 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $2,049.30 | ↓ -14% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,049.30 | ↓ -14% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,143.48 | ↓ -10% |
| Coventry/First Health | Commercial | $2,608.20 | ↑ +10% |
| Highmark BCBS of PA | UPMC Emergent | $2,773.05 | ↑ +17% |
| Preferred Healthcare System | PPO | $2,980.80 | ↑ +26% |
| Private Health Care Systems | PPO | $3,167.10 | ↑ +34% |
| Humana | Commercial | $3,167.10 | ↑ +34% |
| Multiplan | PPO | $3,427.92 | ↑ +45% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insert cath pleura without image at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $697.20 | $472.66 – $1,989.40 |
| UPMC Passavant-McCandless | Pittsburgh | $833.40 | $477.16 – $1,989.40 |
| UPMC Presbyterian | Pittsburgh | $2,890.80 | $477.16 – $1,989.40 |
| UPMC St. Margaret | Pittsburgh | $2,585.40 | $477.16 – $1,989.40 |
| UPMC Altoona | Altoona | $843.60 | $472.66 – $1,953.23 |
| UPMC Cole | Coudersport | $218.40 | $44.35 – $791.18 |
| UPMC East | Monroeville | $832.80 | $458.04 – $1,953.23 |
| UPMC Hamot | Erie | $931.20 | $472.66 – $2,630.42 |