Pr cystourethroscopy with insertion indwelling ureteral stent at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,570.00
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.
?
What you pay up front if you don't use insurance.
$5,950.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$158.09 with UPMC Health Plan vs $5,474.00 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $158.09 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $158.09 | ↓ -96% |
| Aetna | CHIP/Medicaid | $186.84 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $213.14 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $223.73 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $227.42 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $244.93 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $683.18 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $736.75 | ↓ -79% |
| UPMC Health Plan | Commercial | $1,434.45 | ↓ -60% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,131.49 | ↓ -40% |
| Aetna | Neighborhood Network | $2,142.00 | ↓ -40% |
| UPMC Health Plan | CHIP | $2,316.83 | ↓ -35% |
| Aetna | EBR FI | $2,320.50 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,332.40 | ↓ -35% |
| Cigna | New Business ASO | $2,380.00 | ↓ -33% |
| Aetna | EBR ASO | $2,380.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $2,380.00 | ↓ -33% |
| Cigna | Commercial | $2,380.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,471.31 | ↓ -31% |
| Highmark BCBS of PA | Managed Care | $2,854.47 | ↓ -20% |
| InterGroup | PPO | $2,975.00 | ↓ -17% |
| UPMC Health Plan | Managed Medicare | $3,077.41 | ↓ -14% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,309.63 | ↓ -7% |
| UPMC Health Plan | Partners/Select | $3,373.02 | ↓ -6% |
| Aetna of PA | Medicare | $3,452.59 | ↓ -3% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,550.91 | ↓ -1% |
| AmeriHealth Caritas | Medicare | $3,551.23 | ↓ -1% |
| United Healthcare | Medicare | $3,551.23 | ↓ -1% |
| Aetna | Medicare | $3,617.00 | ↑ +1% |
| Coventry/First Health | Commercial | $4,165.00 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $4,281.72 | ↑ +20% |
| Preferred Healthcare System | PPO | $4,760.00 | ↑ +33% |
| Humana | Commercial | $5,057.50 | ↑ +42% |
| Private Health Care Systems | PPO | $5,057.50 | ↑ +42% |
| Multiplan | PPO | $5,474.00 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pr cystourethroscopy with insertion indwelling ureteral stent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,520.20 | $158.09 – $3,617.00 |
| UPMC Passavant-McCandless | Pittsburgh | $3,769.20 | $158.09 – $3,617.00 |
| UPMC Presbyterian | Pittsburgh | $5,288.40 | $158.09 – $3,617.00 |
| UPMC St. Margaret | Pittsburgh | $3,768.60 | $158.09 – $3,617.00 |
| UPMC Altoona | Altoona | $4,764.60 | $143.72 – $6,352.80 |
| UPMC Cole | Coudersport | $639.00 | $150.91 – $1,041.88 |
| UPMC East | Monroeville | $4,170.00 | $158.09 – $5,560.00 |
| UPMC Hamot | Erie | $4,273.20 | $158.09 – $4,782.42 |