Transcath biopsy at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$7,158.00
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.
$11,930.00
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.
$125.40 with UPMC Health Plan vs $10,975.60 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 Health Plan | Managed Medicaid | $125.40 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $125.40 | ↓ -98% |
| Aetna | CHIP/Medicaid | $148.20 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $169.06 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $177.46 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $180.39 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $194.28 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $436.76 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $562.86 | ↓ -92% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,263.58 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,465.02 | ↓ -80% |
| Highmark BCBS of PA | Managed Care | $1,692.16 | ↓ -76% |
| UPMC Health Plan | Commercial | $1,957.27 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,961.99 | ↓ -73% |
| Highmark BCBS of PA | UPMC Emergent | $2,538.26 | ↓ -65% |
| UPMC Health Plan | CHIP | $3,161.26 | ↓ -56% |
| Aetna | Neighborhood Network | $4,294.80 | ↓ -40% |
| Aetna | EBR FI | $4,652.70 | ↓ -35% |
| Aetna | Home Depot Employer Group | $4,676.56 | ↓ -35% |
| Cigna | New Business ASO | $4,772.00 | ↓ -33% |
| Aetna | EBR ASO | $4,772.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $4,772.00 | ↓ -33% |
| Cigna | Commercial | $4,772.00 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $4,823.34 | ↓ -33% |
| UPMC Health Plan | Partners/Select | $5,286.66 | ↓ -26% |
| Aetna of PA | Medicare | $5,411.37 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,565.47 | ↓ -22% |
| United Healthcare | Medicare | $5,565.99 | ↓ -22% |
| AmeriHealth Caritas | Medicare | $5,565.99 | ↓ -22% |
| Aetna | Medicare | $5,669.06 | ↓ -21% |
| InterGroup | PPO | $5,965.00 | ↓ -17% |
| Coventry/First Health | Commercial | $8,351.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $9,544.00 | ↑ +33% |
| Humana | Commercial | $10,140.50 | ↑ +42% |
| Private Health Care Systems | PPO | $10,140.50 | ↑ +42% |
| Multiplan | PPO | $10,975.60 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Transcath biopsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,978.40 | $125.40 – $5,669.06 |
| UPMC Passavant-McCandless | Pittsburgh | $9,409.80 | $125.40 – $5,669.06 |
| UPMC Presbyterian | Pittsburgh | $2,898.60 | $125.40 – $5,669.06 |
| UPMC St. Margaret | Pittsburgh | $3,075.00 | $125.40 – $5,669.06 |
| UPMC Altoona | Altoona | $2,782.80 | $114.00 – $3,710.40 |
| UPMC Carlisle | Carlisle | $6,966.60 | $144.78 – $9,869.35 |
| UPMC Community Osteopathic | Harrisburg | $6,966.60 | $153.90 – $9,869.35 |
| UPMC Hanover | Hanover | $6,966.60 | $144.78 – $8,262.51 |