Small bowel endoscopy/stent 44370 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$18,910.80
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.
$31,518.00
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.
$460.56 with UPMC Work Partners vs $27,355.28 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $460.56 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,379.50 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $5,311.50 | ↓ -72% |
| Aetna | CHIP/Medicaid | $5,352.12 | ↓ -72% |
| UPMC Health Plan | Partners/Select | $5,821.71 | ↓ -69% |
| Aetna of PA | Medicare | $5,959.05 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,128.75 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $6,129.31 | ↓ -68% |
| United Healthcare | Medicare | $6,129.31 | ↓ -68% |
| Aetna | Medicare | $6,242.82 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,261.87 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,981.61 | ↓ -58% |
| Highmark BCBS of PA | Managed Care | $9,725.18 | ↓ -49% |
| UPMC Health Plan | CHIP | $10,406.90 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity | $10,689.15 | ↓ -43% |
| Aetna | Neighborhood Network | $10,704.24 | ↓ -43% |
| Aetna | EBR FI | $11,596.26 | ↓ -39% |
| Aetna | Home Depot Employer Group | $11,655.73 | ↓ -38% |
| Aetna | EBR ASO | $11,893.60 | ↓ -37% |
| Cigna | New Business ASO | $11,893.60 | ↓ -37% |
| Cigna | Commercial | $11,893.60 | ↓ -37% |
| Aetna | NBR ASO/FI | $11,893.60 | ↓ -37% |
| UPMC Health Plan | Commercial | $12,934.29 | ↓ -32% |
| Highmark BCBS of PA | UPMC Emergent | $14,587.77 | ↓ -23% |
| InterGroup | PPO | $14,867.00 | ↓ -21% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $16,353.70 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $16,353.70 | ↓ -14% |
| Coventry/First Health | Commercial | $20,813.80 | ↑ +10% |
| Preferred Healthcare System | PPO | $23,787.20 | ↑ +26% |
| Private Health Care Systems | PPO | $25,273.90 | ↑ +34% |
| Humana | Commercial | $25,273.90 | ↑ +34% |
| Multiplan | PPO | $27,355.28 | ↑ +45% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Small bowel endoscopy/stent 44370 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $10,842.00 | $503.64 – $6,242.82 |
| UPMC Passavant-McCandless | Pittsburgh | $26,215.20 | $460.56 – $6,242.82 |
| UPMC Presbyterian | Pittsburgh | $13,989.00 | $503.64 – $6,242.82 |
| UPMC St. Margaret | Pittsburgh | $10,842.00 | $460.56 – $6,242.82 |
| UPMC Hamot | Erie | $6,265.20 | $460.56 – $8,254.31 |
| UPMC Wellsboro | Wellsboro | $7,896.80 | $460.56 – $993.28 |