Urinary suspensory at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$32.40
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.
$54.00
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.
$9.72 with Aetna vs $459.29 with Highmark BCBS of PA — 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 | CHIP/Medicaid | $9.72 | ↓ -70% |
| Aetna | Neighborhood Network | $19.44 | ↓ -40% |
| Aetna | EBR FI | $21.06 | ↓ -35% |
| Aetna | Home Depot Employer Group | $21.17 | ↓ -35% |
| Aetna | EBR ASO | $21.60 | ↓ -33% |
| Cigna | New Business ASO | $21.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $21.60 | ↓ -33% |
| Cigna | Commercial | $21.60 | ↓ -33% |
| InterGroup | PPO | $27.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $27.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $29.70 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $29.70 | ↓ -8% |
| Coventry/First Health | Commercial | $37.80 | ↑ +17% |
| Aetna | Medicare | $38.41 | ↑ +19% |
| Preferred Healthcare System | PPO | $43.20 | ↑ +33% |
| Humana | Commercial | $45.90 | ↑ +42% |
| Private Health Care Systems | PPO | $45.90 | ↑ +42% |
| Multiplan | PPO | $49.68 | ↑ +53% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $67.22 | ↑ +107% |
| UPMC Work Partners | Workers Comp | $95.06 | ↑ +193% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $225.47 | ↑ +596% |
| UPMC Health Plan | CHIP | $228.03 | ↑ +604% |
| Highmark BCBS of PA | Managed Care - Social Mission | $228.62 | ↑ +606% |
| Highmark BCBS of PA | Commercial - Indemnity | $301.95 | ↑ +832% |
| Highmark BCBS of PA | Managed Care | $306.19 | ↑ +845% |
| UPMC Health Plan | Commercial | $352.27 | ↑ +987% |
| Highmark BCBS of PA | UPMC Emergent | $459.29 | ↑ +1318% |
Visitor-reported prices
Comments
Urinary suspensory at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $52.20 | $37.02 – $368.69 |
| UPMC Wellsboro | Wellsboro | $23.40 | $39.49 – $95.06 |
| UPMC Williamsport | Williamsport | $21.00 | $39.49 – $105.01 |