Insertion subcutaneous cardiac rhythm monitor at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$14,247.60
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.
?
What you pay up front if you don't use insurance.
$23,746.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3,040.85 with Highmark BCBS of PA vs $21,846.32 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $3,040.85 | ↓ -79% |
| Aetna | CHIP/Medicaid | $4,274.28 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $5,974.86 | ↓ -58% |
| UPMC Health Plan | Commercial | $6,421.78 | ↓ -55% |
| UPMC Health Plan | CHIP | $7,073.42 | ↓ -50% |
| UPMC Health Plan | Managed Medicare | $7,384.39 | ↓ -48% |
| UPMC Health Plan | Partners/Select | $8,093.72 | ↓ -43% |
| Aetna of PA | Medicare | $8,284.66 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicare | $8,520.57 | ↓ -40% |
| United Healthcare | Medicare | $8,521.36 | ↓ -40% |
| AmeriHealth Caritas | Medicare | $8,521.36 | ↓ -40% |
| Aetna | Neighborhood Network | $8,548.56 | ↓ -40% |
| Aetna | Medicare | $8,679.17 | ↓ -39% |
| Highmark BCBS of PA | Managed Care - Social Mission | $8,797.48 | ↓ -38% |
| Aetna | EBR FI | $9,260.94 | ↓ -35% |
| Aetna | Home Depot Employer Group | $9,308.43 | ↓ -35% |
| Cigna | Commercial | $9,498.40 | ↓ -33% |
| Cigna | New Business ASO | $9,498.40 | ↓ -33% |
| Aetna | EBR ASO | $9,498.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $9,498.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10,200.01 | ↓ -28% |
| Highmark BCBS of PA | Managed Care | $11,781.45 | ↓ -17% |
| InterGroup | PPO | $11,873.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $13,060.30 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $13,060.30 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $13,660.08 | ↓ -4% |
| Coventry/First Health | Commercial | $16,622.20 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $17,672.25 | ↑ +24% |
| Preferred Healthcare System | PPO | $18,996.80 | ↑ +33% |
| Humana | Commercial | $20,184.10 | ↑ +42% |
| Private Health Care Systems | PPO | $20,184.10 | ↑ +42% |
| Multiplan | PPO | $21,846.32 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insertion subcutaneous cardiac rhythm monitor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $8,470.20 | $3,012.17 – $8,679.17 |
| UPMC Passavant-McCandless | Pittsburgh | $8,850.60 | $3,040.85 – $8,679.17 |
| UPMC Presbyterian | Pittsburgh | $12,462.00 | $931.20 – $8,679.17 |
| UPMC Altoona | Altoona | $2,788.80 | $2,324.00 – $8,521.36 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $2,371.80 | $1,304.49 – $8,521.36 |
| UPMC Hamot | Erie | $7,465.20 | $3,012.17 – $11,475.67 |