Venous mech thrombectomy at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$22,748.40
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.
$37,914.00
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.
$4,574.16 with UPMC Work Partners vs $34,880.88 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 Work Partners | Workers Comp | $4,574.16 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5,114.83 | ↓ -78% |
| Aetna | CHIP/Medicaid | $6,824.52 | ↓ -70% |
| UPMC Health Plan | Commercial | $7,597.68 | ↓ -67% |
| UPMC Health Plan | CHIP | $8,368.64 | ↓ -63% |
| UPMC Health Plan | Managed Medicare | $10,118.83 | ↓ -56% |
| UPMC Health Plan | Partners/Select | $11,090.82 | ↓ -51% |
| Aetna of PA | Medicare | $11,352.46 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $11,675.74 | ↓ -49% |
| United Healthcare | Medicare | $11,676.82 | ↓ -49% |
| AmeriHealth Caritas | Medicare | $11,676.82 | ↓ -49% |
| Aetna | Medicare | $11,893.06 | ↓ -48% |
| Aetna | Neighborhood Network | $13,649.04 | ↓ -40% |
| Aetna | EBR FI | $14,786.46 | ↓ -35% |
| Highmark BCBS of PA | Managed Care - Social Mission | $14,797.72 | ↓ -35% |
| Aetna | Home Depot Employer Group | $14,862.29 | ↓ -35% |
| Cigna | New Business ASO | $15,165.60 | ↓ -33% |
| Aetna | EBR ASO | $15,165.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $15,165.60 | ↓ -33% |
| Cigna | Commercial | $15,165.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $17,156.83 | ↓ -25% |
| InterGroup | PPO | $18,957.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $19,816.87 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $20,852.70 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $20,852.70 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $22,976.81 | ↑ +1% |
| Coventry/First Health | Commercial | $26,539.80 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $29,725.45 | ↑ +31% |
| Preferred Healthcare System | PPO | $30,331.20 | ↑ +33% |
| Humana | Commercial | $32,226.90 | ↑ +42% |
| Private Health Care Systems | PPO | $32,226.90 | ↑ +42% |
| Multiplan | PPO | $34,880.88 | ↑ +53% |
Visitor-reported prices
Comments
Venous mech thrombectomy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $12,268.80 | $4,626.06 – $11,893.06 |
| UPMC Passavant-McCandless | Pittsburgh | $26,215.20 | $4,574.16 – $11,893.06 |
| UPMC Presbyterian | Pittsburgh | $32,551.20 | $931.20 – $11,893.06 |
| UPMC Altoona | Altoona | $33,079.20 | $4,574.16 – $44,105.60 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,446.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $13,128.60 | $4,574.16 – $17,504.80 |
| UPMC Hamot | Erie | $10,687.20 | $4,574.16 – $15,725.10 |