Hospital observation (per hour)
Facility: Magee Womens Hospital of UPMC Health System
Billing Code: G0378 (HCPCS)
This hospital's typical commercial price is $190 compared to the $69 fair price benchmark.
4-Star CMS clinical quality rating paired with 2.75× fair market pricing.
Highest price of the 9 PA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Hospital observation (per hour) is about $69. Magee Womens Hospital of UPMC Health System charges insurers about $190, or about $602 in cash — well above the fair price. Located in Pittsburgh, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $69. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $1,074 | — |
| Blue Cross Blue Shieldmajor | $28 - $2,569 | — |
| Aetnamajor | $67 - $1,270 | — |
| Cignamajor | $95 - $939 | — |
| Humanamajor | $201 - $1,505 | — |
| AmeriHealth | $2,137 | — |
| Geisinger | $2,207 | — |
| UPMC Health Plan | $27 - $5,089 | — |
| + 3 smaller / regional plans | $118 - $2,137 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Magee Womens Hospital of UPMC Health System
Compare: Hospital observation (per hour) at other PA hospitals
- Punxsutawney Area Hospital · Punxsutawney $42
- Fulton County Medical Center · McConnellsburg $44
- Titusville Area Hospital · Titusville $60
- Lancaster General Hospital · Lancaster $82
- Lecom Medical Center and Behavioral Health Pav · Erie $85
- Heritage Valley Beaver · Beaver $100
- Heritage Valley Sewickley · Sewickley $100
- Jefferson Abington Hospital · Abington $135
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Magee Womens Hospital of UPMC Health System (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $364
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $364).
Self-Pay Cash Rate ($602) Beats Your Bill
Magee Womens Hospital of UPMC Health System's published 45 CFR § 180 self-pay cash rate is $602 (vs. $190 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $69 Fair BaseRate ($40 Medicare)
Your bill ($1,004) is $935 above the denoised Fair BaseRate ($69) and 25.1× the $40 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.