Proctosigmoidoscopy dx 45300 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,279.40
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.
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What you pay up front if you don't use insurance.
$3,799.00
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.
$26.81 with United Healthcare Community Plan for Families vs $3,495.08 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $26.81 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $26.81 | ↓ -99% |
| Aetna | CHIP/Medicaid | $31.68 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $36.14 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $37.94 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $38.56 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $41.53 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $128.48 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $337.77 | ↓ -85% |
| UPMC Health Plan | Commercial | $659.11 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $813.49 | ↓ -64% |
| UPMC Health Plan | Partners/Select | $891.64 | ↓ -61% |
| Aetna of PA | Medicare | $912.67 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicare | $938.66 | ↓ -59% |
| United Healthcare | Medicare | $938.75 | ↓ -59% |
| AmeriHealth Caritas | Medicare | $938.75 | ↓ -59% |
| Aetna | Medicare | $956.13 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $977.20 | ↓ -57% |
| UPMC Health Plan | CHIP | $1,064.56 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,132.99 | ↓ -50% |
| Highmark BCBS of PA | Managed Care | $1,308.65 | ↓ -43% |
| Aetna | Neighborhood Network | $1,367.64 | ↓ -40% |
| Aetna | EBR FI | $1,481.61 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,489.21 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,517.33 | ↓ -33% |
| Cigna | New Business ASO | $1,519.60 | ↓ -33% |
| Aetna | EBR ASO | $1,519.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,519.60 | ↓ -33% |
| Cigna | Commercial | $1,519.60 | ↓ -33% |
| InterGroup | PPO | $1,899.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $1,962.99 | ↓ -14% |
| Coventry/First Health | Commercial | $2,659.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $3,039.20 | ↑ +33% |
| Humana | Commercial | $3,229.15 | ↑ +42% |
| Private Health Care Systems | PPO | $3,229.15 | ↑ +42% |
| Multiplan | PPO | $3,495.08 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Proctosigmoidoscopy dx 45300 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,189.80 | $26.81 – $956.13 |
| UPMC Presbyterian | Pittsburgh | $1,857.60 | $26.81 – $956.13 |
| UPMC St. Margaret | Pittsburgh | $1,663.20 | $26.81 – $956.13 |
| UPMC Altoona | Altoona | $817.20 | $24.37 – $1,089.60 |
| UPMC Cole | Coudersport | $780.60 | $25.59 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $1,420.20 | $32.90 – $2,011.95 |
| UPMC Memorial | York | $1,420.20 | $30.95 – $1,398.78 |
| UPMC Somerset | Somerset | $1,420.20 | $26.81 – $892.40 |