Venous m-thrombectomy add-on at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$18,520.20
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.
$30,867.00
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.
$2,808.41 with UPMC Health Plan vs $28,397.64 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 Medicare | $2,808.41 | ↓ -85% |
| UPMC Health Plan | Partners/Select | $3,078.18 | ↓ -83% |
| Aetna of PA | Medicare | $3,150.80 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↓ -83% |
| United Healthcare | Medicare | $3,240.82 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↓ -83% |
| Aetna | Medicare | $3,300.84 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $3,947.32 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,413.90 | ↓ -76% |
| Aetna | CHIP/Medicaid | $5,556.06 | ↓ -70% |
| UPMC Health Plan | CHIP | $10,803.45 | ↓ -42% |
| Aetna | Neighborhood Network | $11,112.12 | ↓ -40% |
| Aetna | EBR FI | $12,038.13 | ↓ -35% |
| Aetna | Home Depot Employer Group | $12,099.86 | ↓ -35% |
| Cigna | New Business ASO | $12,346.80 | ↓ -33% |
| Aetna | EBR ASO | $12,346.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $12,346.80 | ↓ -33% |
| Cigna | Commercial | $12,346.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $12,769.86 | ↓ -31% |
| UPMC Health Plan | Commercial | $13,427.15 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $14,805.69 | ↓ -20% |
| InterGroup | PPO | $15,433.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $16,976.85 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $16,976.85 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $17,101.20 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $19,828.11 | ↑ +7% |
| Coventry/First Health | Commercial | $21,606.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $24,693.60 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $25,651.92 | ↑ +39% |
| Humana | Commercial | $26,236.95 | ↑ +42% |
| Private Health Care Systems | PPO | $26,236.95 | ↑ +42% |
| Multiplan | PPO | $28,397.64 | ↑ +53% |
Visitor-reported prices
Comments
Venous m-thrombectomy add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $10,537.20 | $2,501.43 – $4,765.19 |
| UPMC Passavant-McCandless | Pittsburgh | $29,196.00 | $2,788.61 – $4,589.91 |
| UPMC Presbyterian | Pittsburgh | $28,089.60 | $931.20 – $5,540.92 |
| UPMC Altoona | Altoona | $28,122.00 | $3,060.18 – $37,496.00 |
| UPMC Carlisle | Carlisle | $10,522.80 | $1,016.56 – $14,907.30 |
| UPMC Community Osteopathic | Harrisburg | $10,522.80 | $1,016.56 – $14,907.30 |
| UPMC Hamot | Erie | $9,483.00 | $3,463.26 – $4,372.27 |
| UPMC Hanover | Hanover | $10,522.80 | $1,016.56 – $4,810.90 |