Aco cont gluc mnt phys/qhp eqp 95250aco at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$658.80
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.
$1,098.00
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.
$96.41 with UPMC Work Partners vs $1,010.16 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 | $96.41 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $97.09 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $97.09 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $112.40 | ↓ -83% |
| Aetna | CHIP/Medicaid | $114.74 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $114.98 | ↓ -83% |
| UPMC Health Plan | Partners/Select | $126.03 | ↓ -81% |
| Aetna of PA | Medicare | $129.00 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $130.89 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.68 | ↓ -80% |
| United Healthcare | Medicare | $132.69 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $132.69 | ↓ -80% |
| Aetna | Medicare | $135.15 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $137.39 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $139.66 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $150.41 | ↓ -77% |
| UPMC Health Plan | CHIP | $255.25 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $343.04 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $377.03 | ↓ -43% |
| UPMC Health Plan | Commercial | $394.32 | ↓ -40% |
| Aetna | Neighborhood Network | $395.28 | ↓ -40% |
| Aetna | EBR FI | $428.22 | ↓ -35% |
| Aetna | Home Depot Employer Group | $430.42 | ↓ -35% |
| Cigna | New Business ASO | $439.20 | ↓ -33% |
| Aetna | EBR ASO | $439.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $439.20 | ↓ -33% |
| Cigna | Commercial | $439.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $459.40 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $504.93 | ↓ -23% |
| InterGroup | PPO | $549.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $689.10 | ↑ +5% |
| Coventry/First Health | Commercial | $768.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $878.40 | ↑ +33% |
| Private Health Care Systems | PPO | $933.30 | ↑ +42% |
| Humana | Commercial | $933.30 | ↑ +42% |
| Multiplan | PPO | $1,010.16 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Aco cont gluc mnt phys/qhp eqp 95250aco at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $464.40 | $97.09 – $135.15 |
| UPMC Presbyterian | Pittsburgh | $955.80 | $97.09 – $137.39 |
| UPMC Altoona | Altoona | $805.20 | $88.26 – $1,073.60 |
| UPMC Carlisle | Carlisle | $390.00 | $89.05 – $552.50 |
| UPMC Cole | Coudersport | $467.40 | $92.67 – $623.20 |
| UPMC Community Osteopathic | Harrisburg | $390.00 | $100.89 – $552.50 |
| UPMC Hamot | Erie | $611.40 | $96.41 – $333.90 |
| UPMC Hanover | Hanover | $390.00 | $100.89 – $196.98 |