Wound pouch each at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$414.60
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.
$691.00
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.
$13.54 with Aetna vs $175.79 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 | Medicare | $13.54 | ↓ -97% |
| Aetna | CHIP/Medicaid | $17.82 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $25.73 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $33.13 | ↓ -92% |
| Aetna | Neighborhood Network | $35.64 | ↓ -91% |
| Aetna | EBR FI | $38.61 | ↓ -91% |
| Aetna | Home Depot Employer Group | $38.81 | ↓ -91% |
| Cigna | Commercial | $39.60 | ↓ -90% |
| Cigna | New Business ASO | $39.60 | ↓ -90% |
| Aetna | EBR ASO | $39.60 | ↓ -90% |
| Aetna | NBR ASO/FI | $39.60 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $49.50 | ↓ -88% |
| InterGroup | PPO | $49.50 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $54.45 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $54.45 | ↓ -87% |
| Coventry/First Health | Commercial | $69.30 | ↓ -83% |
| Preferred Healthcare System | PPO | $79.20 | ↓ -81% |
| UPMC Health Plan | CHIP | $80.42 | ↓ -81% |
| Private Health Care Systems | PPO | $84.15 | ↓ -80% |
| Humana | Commercial | $84.15 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $86.30 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $87.51 | ↓ -79% |
| Multiplan | PPO | $91.08 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Indemnity | $115.57 | ↓ -72% |
| Highmark BCBS of PA | Managed Care | $117.19 | ↓ -72% |
| UPMC Health Plan | Commercial | $124.23 | ↓ -70% |
| Highmark BCBS of PA | UPMC Emergent | $175.79 | ↓ -58% |
Visitor-reported prices
Comments
Wound pouch each at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $369.00 | $25.48 – $63.50 |
| UPMC St. Margaret | Pittsburgh | $391.20 | $25.73 – $98.68 |
| UPMC Altoona | Altoona | $369.00 | $25.48 – $492.00 |
| UPMC East | Monroeville | $43.80 | $18.25 – $80.42 |
| UPMC Wellsboro | Wellsboro | $318.60 | $33.13 – $33.13 |
| UPMC Williamsport | Williamsport | $18.00 | $33.13 – $36.59 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $9.73 – $36.76 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $10.36 – $36.76 |