Stent bronch dumon sil 10x40mm at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$12,235.80
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.
$20,393.00
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.
$295.98 with Aetna vs $18,761.56 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 |
|---|---|---|---|
| Aetna | Medicare | $295.98 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $962.68 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,229.15 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,274.40 | ↓ -73% |
| Aetna | CHIP/Medicaid | $3,670.74 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,324.55 | ↓ -65% |
| Highmark BCBS of PA | Managed Care | $4,385.35 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4,690.39 | ↓ -62% |
| UPMC Health Plan | CHIP | $6,295.74 | ↓ -49% |
| Highmark BCBS of PA | UPMC Emergent | $6,578.05 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $6,729.69 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,729.69 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6,898.95 | ↓ -44% |
| Aetna | Neighborhood Network | $7,341.48 | ↓ -40% |
| Aetna | EBR FI | $7,953.27 | ↓ -35% |
| Aetna | Home Depot Employer Group | $7,994.06 | ↓ -35% |
| Aetna | NBR ASO/FI | $8,157.20 | ↓ -33% |
| Cigna | Commercial | $8,157.20 | ↓ -33% |
| Cigna | New Business ASO | $8,157.20 | ↓ -33% |
| Aetna | EBR ASO | $8,157.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $9,725.91 | ↓ -21% |
| InterGroup | PPO | $10,196.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $10,196.50 | ↓ -17% |
| Coventry/First Health | Commercial | $14,275.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $16,314.40 | ↑ +33% |
| Humana | Commercial | $17,334.05 | ↑ +42% |
| Private Health Care Systems | PPO | $17,334.05 | ↑ +42% |
| Multiplan | PPO | $18,761.56 | ↑ +53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Stent bronch dumon sil 10x40mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $13,557.00 | $953.60 – $4,971.39 |
| UPMC Passavant-McCandless | Pittsburgh | $10,323.00 | $962.68 – $9,135.91 |
| UPMC Presbyterian | Pittsburgh | $22,262.40 | $962.68 – $10,179.09 |
| UPMC St. Margaret | Pittsburgh | $17,533.20 | $962.68 – $7,725.33 |
| UPMC Community Osteopathic | Harrisburg | $5,596.20 | $1,865.40 – $7,927.95 |
| UPMC East | Monroeville | $5,943.00 | $962.68 – $7,924.00 |
| UPMC Hamot | Erie | $14,054.40 | $953.60 – $953.60 |
| UPMC Jameson | New Castle | $8,667.60 | $269.07 – $6,295.74 |