Insert uteri tandem/ovoids at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,862.60
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.
$4,771.00
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.
$197.72 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 | $197.72 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $197.72 | ↓ -93% |
| Aetna | CHIP/Medicaid | $233.68 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $266.57 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $279.82 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $284.44 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $306.33 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $723.46 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $766.87 | ↓ -73% |
| Aetna | Neighborhood Network | $1,717.56 | ↓ -40% |
| Aetna | EBR FI | $1,860.69 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,870.23 | ↓ -35% |
| Cigna | New Business ASO | $1,908.40 | ↓ -33% |
| Cigna | Commercial | $1,908.40 | ↓ -33% |
| Aetna | EBR ASO | $1,908.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,908.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $2,018.92 | ↓ -29% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,218.63 | ↓ -22% |
| InterGroup | PPO | $2,385.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,572.33 | ↓ -10% |
| Highmark BCBS of PA | Managed Care | $2,971.15 | ↑ +4% |
| UPMC Health Plan | CHIP | $3,260.82 | ↑ +14% |
| Coventry/First Health | Commercial | $3,339.70 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,444.92 | ↑ +20% |
| Preferred Healthcare System | PPO | $3,816.80 | ↑ +33% |
| Private Health Care Systems | PPO | $4,055.35 | ↑ +42% |
| Humana | Commercial | $4,055.35 | ↑ +42% |
| Multiplan | PPO | $4,389.32 | ↑ +53% |
| UPMC Health Plan | Managed Medicare | $4,404.64 | ↑ +54% |
| Highmark BCBS of PA | UPMC Emergent | $4,456.75 | ↑ +56% |
| UPMC Health Plan | Partners/Select | $4,827.73 | ↑ +69% |
| Aetna of PA | Medicare | $4,941.63 | ↑ +73% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,082.34 | ↑ +78% |
| AmeriHealth Caritas | Medicare | $5,082.81 | ↑ +78% |
| United Healthcare | Medicare | $5,082.81 | ↑ +78% |
| Aetna | Medicare | $5,176.94 | ↑ +81% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insert uteri tandem/ovoids at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Memorial | York | $6,475.20 | $228.28 – $7,573.70 |