3-d radiotherapy plan at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$10,936.20
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.
$18,227.00
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.
$603.72 with United Healthcare Community Plan for Families vs $16,768.84 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $603.72 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $603.72 | ↓ -94% |
| Aetna | CHIP/Medicaid | $713.49 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $813.93 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $854.38 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $868.48 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $935.33 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $1,220.85 | ↓ -89% |
| UPMC Health Plan | Partners/Select | $1,338.13 | ↓ -88% |
| Aetna of PA | Medicare | $1,369.69 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,408.70 | ↓ -87% |
| United Healthcare | Medicare | $1,408.83 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $1,408.83 | ↓ -87% |
| Aetna | Medicare | $1,434.92 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,481.37 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $2,749.13 | ↓ -75% |
| UPMC Health Plan | Commercial | $3,691.42 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,285.74 | ↓ -61% |
| UPMC Health Plan | CHIP | $4,630.81 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,968.99 | ↓ -55% |
| Highmark BCBS of PA | Managed Care | $5,739.39 | ↓ -48% |
| Aetna | Neighborhood Network | $6,561.72 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,654.58 | ↓ -39% |
| Aetna | EBR FI | $7,108.53 | ↓ -35% |
| Aetna | Home Depot Employer Group | $7,144.98 | ↓ -35% |
| Cigna | New Business ASO | $7,290.80 | ↓ -33% |
| Aetna | EBR ASO | $7,290.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $7,290.80 | ↓ -33% |
| Cigna | Commercial | $7,290.80 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $8,609.13 | ↓ -21% |
| InterGroup | PPO | $9,113.50 | ↓ -17% |
| Coventry/First Health | Commercial | $12,758.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $14,581.60 | ↑ +33% |
| Humana | Commercial | $15,492.95 | ↑ +42% |
| Private Health Care Systems | PPO | $15,492.95 | ↑ +42% |
| Multiplan | PPO | $16,768.84 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
3-d radiotherapy plan at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $4,423.20 | $603.72 – $3,254.61 |
| UPMC Passavant-McCandless | Pittsburgh | $9,234.00 | $603.72 – $3,196.66 |
| UPMC Presbyterian | Pittsburgh | $11,433.60 | $385.75 – $3,784.43 |
| UPMC St. Margaret | Pittsburgh | $8,950.80 | $603.72 – $2,749.13 |
| UPMC Altoona | Altoona | $4,311.60 | $321.46 – $5,748.80 |
| UPMC Carlisle | Carlisle | $5,005.80 | $421.11 – $7,091.55 |
| UPMC Community Osteopathic | Harrisburg | $5,005.80 | $421.11 – $7,091.55 |
| UPMC East | Monroeville | $6,364.20 | $603.72 – $8,485.60 |