Remove cva lumen obstruct at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$400.20
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.
$667.00
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.
$82.40 with Highmark BCBS of PA vs $613.64 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 | $82.40 | ↓ -79% |
| Aetna | Medicare | $90.11 | ↓ -77% |
| Aetna | CHIP/Medicaid | $120.06 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $161.58 | ↓ -60% |
| UPMC Health Plan | Commercial | $229.36 | ↓ -43% |
| Highmark BCBS of PA | Managed Care - Social Mission | $238.38 | ↓ -40% |
| Aetna | Neighborhood Network | $240.12 | ↓ -40% |
| Aetna | EBR FI | $260.13 | ↓ -35% |
| Aetna | Home Depot Employer Group | $261.46 | ↓ -35% |
| Cigna | New Business ASO | $266.80 | ↓ -33% |
| Aetna | EBR ASO | $266.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $266.80 | ↓ -33% |
| Cigna | Commercial | $266.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $276.39 | ↓ -31% |
| UPMC Health Plan | CHIP | $287.73 | ↓ -28% |
| Highmark BCBS of PA | Managed Care | $319.24 | ↓ -20% |
| InterGroup | PPO | $333.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $333.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $366.85 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $366.85 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $370.14 | ↓ -8% |
| Coventry/First Health | Commercial | $466.90 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $478.86 | ↑ +20% |
| Preferred Healthcare System | PPO | $533.60 | ↑ +33% |
| Private Health Care Systems | PPO | $566.95 | ↑ +42% |
| Humana | Commercial | $566.95 | ↑ +42% |
| Multiplan | PPO | $613.64 | ↑ +53% |
Visitor-reported prices
Comments
Remove cva lumen obstruct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $669.00 | $53.83 – $245.94 |
| UPMC Carlisle | Carlisle | $682.80 | $58.77 – $967.30 |
| UPMC Community Osteopathic | Harrisburg | $682.80 | $58.77 – $967.30 |
| UPMC Hamot | Erie | $454.20 | $81.62 – $182.38 |
| UPMC Hanover | Hanover | $682.80 | $58.77 – $287.73 |
| UPMC Lititz | Lititz | $682.80 | $58.77 – $287.73 |
| UPMC Memorial | York | $682.80 | $58.77 – $525.63 |
| UPMC Somerset | Somerset | $682.80 | $51.59 – $216.42 |