Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$725.40
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.
$1,209.00
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.
$36.30 with United Healthcare Community Plan for Families vs $1,199.61 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $36.30 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $36.30 | ↓ -95% |
| Aetna | CHIP/Medicaid | $42.90 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $48.94 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $51.37 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $52.22 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $56.24 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $206.41 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $294.49 | ↓ -59% |
| UPMC Health Plan | Managed Medicare | $356.48 | ↓ -51% |
| UPMC Health Plan | Partners/Select | $390.73 | ↓ -46% |
| UPMC Health Plan | Commercial | $393.53 | ↓ -46% |
| Aetna of PA | Medicare | $399.94 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $411.33 | ↓ -43% |
| AmeriHealth Caritas | Medicare | $411.37 | ↓ -43% |
| United Healthcare | Medicare | $411.37 | ↓ -43% |
| Aetna | Medicare | $418.99 | ↓ -42% |
| Aetna | Neighborhood Network | $435.24 | ↓ -40% |
| Aetna | EBR FI | $471.51 | ↓ -35% |
| Aetna | Home Depot Employer Group | $473.93 | ↓ -35% |
| Cigna | New Business ASO | $483.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $483.60 | ↓ -33% |
| Cigna | Commercial | $483.60 | ↓ -33% |
| Aetna | EBR ASO | $483.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $597.18 | ↓ -18% |
| InterGroup | PPO | $604.50 | ↓ -17% |
| UPMC Health Plan | CHIP | $635.60 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $692.38 | ↓ -5% |
| Highmark BCBS of PA | Managed Care | $799.73 | ↑ +10% |
| Coventry/First Health | Commercial | $846.30 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $927.26 | ↑ +28% |
| Preferred Healthcare System | PPO | $967.20 | ↑ +33% |
| Humana | Commercial | $1,027.65 | ↑ +42% |
| Private Health Care Systems | PPO | $1,027.65 | ↑ +42% |
| Multiplan | PPO | $1,112.28 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $1,199.61 | ↑ +65% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $576.00 | $36.30 – $418.99 |
| UPMC Passavant-McCandless | Pittsburgh | $846.00 | $36.30 – $418.99 |
| UPMC Presbyterian | Pittsburgh | $1,341.60 | $36.30 – $931.20 |
| UPMC St. Margaret | Pittsburgh | $753.00 | $36.30 – $418.99 |
| UPMC Altoona | Altoona | $820.80 | $33.00 – $1,094.40 |
| UPMC Bedford | Everett | $454.20 | $34.65 – $681.30 |
| UPMC Carlisle | Carlisle | $819.00 | $41.91 – $1,160.25 |
| UPMC Cole | Coudersport | $979.20 | $34.65 – $2,094.25 |