Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$411.60
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.
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What you pay up front if you don't use insurance.
$686.00
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.
$26.95 with United Healthcare Community Plan for Families vs $763.38 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $26.95 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $26.95 | ↓ -93% |
| Aetna | CHIP/Medicaid | $31.85 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $36.33 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $38.14 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $38.77 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $41.75 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $131.35 | ↓ -68% |
| UPMC Health Plan | Managed Medicare | $177.30 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $187.07 | ↓ -55% |
| UPMC Health Plan | Partners/Select | $194.33 | ↓ -53% |
| Aetna of PA | Medicare | $198.91 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $204.58 | ↓ -50% |
| United Healthcare | Medicare | $204.60 | ↓ -50% |
| AmeriHealth Caritas | Medicare | $204.60 | ↓ -50% |
| Aetna | Medicare | $208.38 | ↓ -49% |
| Aetna | Neighborhood Network | $232.92 | ↓ -43% |
| Aetna | EBR FI | $252.33 | ↓ -39% |
| Aetna | Home Depot Employer Group | $253.62 | ↓ -38% |
| Cigna | New Business ASO | $258.80 | ↓ -37% |
| Cigna | Commercial | $258.80 | ↓ -37% |
| Aetna | EBR ASO | $258.80 | ↓ -37% |
| Aetna | NBR ASO/FI | $258.80 | ↓ -37% |
| UPMC Health Plan | Commercial | $259.31 | ↓ -37% |
| InterGroup | PPO | $323.50 | ↓ -21% |
| Highmark BCBS of PA | Managed Care - Social Mission | $380.02 | ↓ -8% |
| UPMC Health Plan | CHIP | $418.82 | ↑ +2% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $440.61 | ↑ +7% |
| Coventry/First Health | Commercial | $452.90 | ↑ +10% |
| Highmark BCBS of PA | Managed Care | $508.92 | ↑ +24% |
| Preferred Healthcare System | PPO | $517.60 | ↑ +26% |
| Humana | Commercial | $549.95 | ↑ +34% |
| Private Health Care Systems | PPO | $549.95 | ↑ +34% |
| Highmark BCBS of PA | Commercial - Indemnity | $590.07 | ↑ +43% |
| Multiplan | PPO | $595.24 | ↑ +45% |
| Highmark BCBS of PA | UPMC Emergent | $763.38 | ↑ +85% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $285.60 | $26.95 – $208.38 |
| UPMC Passavant-McCandless | Pittsburgh | $709.80 | $26.95 – $217.52 |
| UPMC Presbyterian | Pittsburgh | $852.60 | $26.95 – $631.20 |
| UPMC St. Margaret | Pittsburgh | $477.00 | $26.95 – $208.38 |
| UPMC Altoona | Altoona | $518.40 | $24.50 – $691.20 |
| UPMC Bedford | Everett | $310.80 | $25.73 – $466.20 |
| UPMC Carlisle | Carlisle | $520.80 | $31.11 – $737.80 |
| UPMC Cole | Coudersport | $444.60 | $25.73 – $2,094.25 |