Removal cerumen impacted (both sides) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$166.20
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.
$277.00
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.
$18.77 with Highmark BCBS of PA vs $254.84 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | ↓ -89% |
| UPMC Health Plan | Commercial | $30.20 | ↓ -82% |
| UPMC Health Plan | CHIP | $48.78 | ↓ -71% |
| Aetna | CHIP/Medicaid | $49.86 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $53.00 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $54.29 | ↓ -67% |
| UPMC Health Plan | Partners/Select | $58.09 | ↓ -65% |
| Aetna of PA | Medicare | $59.46 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.15 | ↓ -63% |
| United Healthcare | Medicare | $61.16 | ↓ -63% |
| AmeriHealth Caritas | Medicare | $61.16 | ↓ -63% |
| Aetna | Medicare | $62.29 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $62.94 | ↓ -62% |
| Highmark BCBS of PA | Managed Care | $72.70 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $76.38 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity | $84.30 | ↓ -49% |
| Aetna | Neighborhood Network | $99.72 | ↓ -40% |
| Aetna | EBR FI | $108.03 | ↓ -35% |
| Aetna | Home Depot Employer Group | $108.58 | ↓ -35% |
| Highmark BCBS of PA | UPMC Emergent | $109.06 | ↓ -34% |
| Cigna | Commercial | $110.80 | ↓ -33% |
| Cigna | New Business ASO | $110.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $110.80 | ↓ -33% |
| Aetna | EBR ASO | $110.80 | ↓ -33% |
| InterGroup | PPO | $138.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $152.35 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $152.35 | ↓ -8% |
| Coventry/First Health | Commercial | $193.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $221.60 | ↑ +33% |
| Private Health Care Systems | PPO | $235.45 | ↑ +42% |
| Humana | Commercial | $235.45 | ↑ +42% |
| Multiplan | PPO | $254.84 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Removal cerumen impacted (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $168.00 | $18.59 – $74.50 |
| UPMC Passavant-McCandless | Pittsburgh | $145.80 | $18.77 – $88.81 |
| UPMC Presbyterian | Pittsburgh | $169.20 | $18.56 – $931.20 |
| UPMC St. Margaret | Pittsburgh | $149.40 | $18.77 – $76.38 |
| UPMC Altoona | Altoona | $120.00 | $18.59 – $160.00 |
| UPMC Bedford | Everett | $75.60 | $20.43 – $113.40 |
| UPMC Carlisle | Carlisle | $120.60 | $27.54 – $1,016.56 |
| UPMC Cole | Coudersport | $153.00 | $9.70 – $98.03 |