Laparoscopy remove adnexa at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$5,145.00
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.
$8,575.00
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.
$1,244.42 with Highmark BCBS of PA vs $7,889.00 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 | $1,244.42 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $1,365.27 | ↓ -73% |
| Aetna | CHIP/Medicaid | $1,543.50 | ↓ -70% |
| UPMC Health Plan | Commercial | $2,419.65 | ↓ -53% |
| Aetna | Neighborhood Network | $3,087.00 | ↓ -40% |
| Aetna | EBR FI | $3,344.25 | ↓ -35% |
| Aetna | Home Depot Employer Group | $3,361.40 | ↓ -35% |
| Aetna | EBR ASO | $3,430.00 | ↓ -33% |
| Cigna | New Business ASO | $3,430.00 | ↓ -33% |
| Cigna | Commercial | $3,430.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $3,430.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,600.23 | ↓ -30% |
| UPMC Health Plan | CHIP | $3,908.07 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,174.19 | ↓ -19% |
| InterGroup | PPO | $4,287.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $4,716.25 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,716.25 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $4,821.37 | ↓ -6% |
| UPMC Health Plan | Managed Medicare | $5,205.81 | ↑ +1% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,590.17 | ↑ +9% |
| UPMC Health Plan | Partners/Select | $5,705.87 | ↑ +11% |
| Aetna of PA | Medicare | $5,840.48 | ↑ +14% |
| Coventry/First Health | Commercial | $6,002.50 | ↑ +17% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,006.79 | ↑ +17% |
| AmeriHealth Caritas | Medicare | $6,007.35 | ↑ +17% |
| United Healthcare | Medicare | $6,007.35 | ↑ +17% |
| Aetna | Medicare | $6,118.60 | ↑ +19% |
| Preferred Healthcare System | PPO | $6,860.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $7,232.09 | ↑ +41% |
| Private Health Care Systems | PPO | $7,288.75 | ↑ +42% |
| Humana | Commercial | $7,288.75 | ↑ +42% |
| Multiplan | PPO | $7,889.00 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Laparoscopy remove adnexa at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $10,299.60 | $931.20 – $6,118.60 |
| UPMC Mercy | Pittsburgh | not published | $958.00 – $6,118.60 |
| UPMC Altoona | Altoona | $7,589.40 | $1,232.68 – $10,119.20 |
| UPMC Cole | Coudersport | $1,213.80 | $560.78 – $1,677.17 |
| UPMC Hamot | Erie | $7,082.40 | $1,232.68 – $8,090.06 |
| UPMC Williamsport | Williamsport | $7,589.40 | $993.28 – $6,007.35 |
| Uniontown Hospital | Uniontown | $6,675.00 | $205.80 – $12,170.53 |
| UPMC Bedford | Everett | not published | $1,365.27 – $6,007.35 |