Microdissection laser at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$517.20
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.
$862.00
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.
$110.08 with Aetna vs $793.04 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 |
|---|---|---|---|
| Aetna | Medicare | $110.08 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $150.36 | ↓ -71% |
| Aetna | CHIP/Medicaid | $155.16 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $239.01 | ↓ -54% |
| UPMC Health Plan | CHIP | $301.70 | ↓ -42% |
| Aetna | Neighborhood Network | $310.32 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $320.10 | ↓ -38% |
| Aetna | EBR FI | $336.18 | ↓ -35% |
| Aetna | Home Depot Employer Group | $337.90 | ↓ -35% |
| Cigna | New Business ASO | $344.80 | ↓ -33% |
| Aetna | EBR ASO | $344.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $344.80 | ↓ -33% |
| Cigna | Commercial | $344.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $374.97 | ↓ -28% |
| InterGroup | PPO | $431.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $431.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $474.10 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $474.10 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $480.15 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $504.37 | ↓ -2% |
| Coventry/First Health | Commercial | $603.40 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $675.46 | ↑ +31% |
| Preferred Healthcare System | PPO | $689.60 | ↑ +33% |
| Humana | Commercial | $732.70 | ↑ +42% |
| Private Health Care Systems | PPO | $732.70 | ↑ +42% |
| Multiplan | PPO | $793.04 | ↑ +53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Microdissection laser at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $649.80 | $148.95 – $148.95 |
| UPMC Passavant-McCandless | Pittsburgh | $600.60 | $150.36 – $150.36 |
| UPMC Presbyterian | Pittsburgh | $1,819.80 | $52.58 – $150.36 |
| UPMC Carlisle | Carlisle | $135.00 | $30.82 – $208.32 |
| UPMC Community Osteopathic | Harrisburg | $135.00 | $45.00 – $595.44 |
| UPMC Hamot | Erie | $857.40 | $110.33 – $273.58 |
| UPMC Somerset | Somerset | $135.00 | $50.39 – $147.44 |
| Uniontown Hospital | Uniontown | $1,050.00 | $47.51 – $110.70 |