Thrombectomy/inf pq dialysis circuit w/pta at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$7,348.80
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.
$12,248.00
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.
$386.68 with UPMC Health Plan vs $11,893.06 with Aetna — 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 Health Plan | Managed Medicaid | $386.68 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $386.68 | ↓ -95% |
| Aetna | CHIP/Medicaid | $456.99 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $521.32 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $547.23 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $556.26 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $599.08 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,423.19 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $2,860.92 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,117.44 | ↓ -44% |
| UPMC Health Plan | CHIP | $4,286.80 | ↓ -42% |
| Aetna | Neighborhood Network | $4,409.28 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,773.86 | ↓ -35% |
| Aetna | EBR FI | $4,776.72 | ↓ -35% |
| Aetna | Home Depot Employer Group | $4,801.22 | ↓ -35% |
| Cigna | New Business ASO | $4,899.20 | ↓ -33% |
| Aetna | EBR ASO | $4,899.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $4,899.20 | ↓ -33% |
| Cigna | Commercial | $4,899.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $5,327.88 | ↓ -28% |
| Highmark BCBS of PA | Managed Care | $5,514.01 | ↓ -25% |
| InterGroup | PPO | $6,124.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,393.26 | ↓ -13% |
| Highmark BCBS of PA | UPMC Emergent | $8,271.06 | ↑ +13% |
| Coventry/First Health | Commercial | $8,573.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $9,798.40 | ↑ +33% |
| UPMC Health Plan | Managed Medicare | $10,118.83 | ↑ +38% |
| Humana | Commercial | $10,410.80 | ↑ +42% |
| Private Health Care Systems | PPO | $10,410.80 | ↑ +42% |
| UPMC Health Plan | Partners/Select | $11,090.82 | ↑ +51% |
| Multiplan | PPO | $11,268.16 | ↑ +53% |
| Aetna of PA | Medicare | $11,352.46 | ↑ +54% |
| Highmark Wholecare (prev Gateway) | Medicare | $11,675.74 | ↑ +59% |
| AmeriHealth Caritas | Medicare | $11,676.82 | ↑ +59% |
| United Healthcare | Medicare | $11,676.82 | ↑ +59% |
| Aetna | Medicare | $11,893.06 | ↑ +62% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/pta at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $5,811.60 | $386.68 – $11,893.06 |
| UPMC Passavant-McCandless | Pittsburgh | $8,026.20 | $386.68 – $11,893.06 |
| UPMC Presbyterian | Pittsburgh | $11,800.20 | $386.68 – $11,893.06 |
| UPMC St. Margaret | Pittsburgh | $6,277.20 | $386.68 – $11,893.06 |
| UPMC Carlisle | Carlisle | $24,300.00 | $446.44 – $34,425.00 |
| UPMC Community Osteopathic | Harrisburg | $24,300.00 | $446.44 – $34,425.00 |
| UPMC East | Monroeville | $7,662.00 | $386.68 – $11,352.46 |
| UPMC Hamot | Erie | $5,134.20 | $386.68 – $15,725.10 |