Remove wrist tendon lesion at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
not published by hospital
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.
not published by hospital
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.
$740.26 with UPMC Work Partners vs $4,910.42 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $740.26 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $844.93 | — |
| UPMC Health Plan | Managed Medicare | $1,428.00 | — |
| UPMC Health Plan | Partners/Select | $1,565.17 | — |
| Aetna of PA | Medicare | $1,602.09 | — |
| UPMC Health Plan | Commercial | $1,643.73 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $1,647.71 | — |
| AmeriHealth Caritas | Medicare | $1,647.86 | — |
| United Healthcare | Medicare | $1,647.86 | — |
| Aetna | Medicare | $1,678.38 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,444.47 | — |
| UPMC Health Plan | CHIP | $2,654.85 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,834.18 | — |
| Highmark BCBS of PA | Managed Care | $3,273.60 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $3,795.60 | — |
| Highmark BCBS of PA | UPMC Emergent | $4,910.42 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Remove wrist tendon lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | not published | $681.00 – $1,678.38 |
| UPMC Cole | Coudersport | $633.00 | $292.45 – $1,192.92 |
| UPMC Community Osteopathic | Harrisburg | $817.80 | $712.47 – $5,805.45 |
| UPMC Somerset | Somerset | $817.80 | $312.94 – $337.94 |
| Uniontown Hospital | Uniontown | $2,362.00 | $205.80 – $3,237.13 |
| UPMC Altoona | Altoona | not published | $632.45 – $1,647.86 |
| UPMC Bedford | Everett | not published | $550.51 – $1,647.86 |
| UPMC Carlisle | Carlisle | not published | $661.87 – $2,654.85 |