Aep thrshld est mlt freq i&r at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$831.60
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.
$1,386.00
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.
$86.98 with Highmark BCBS of PA vs $1,275.12 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $86.98 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $101.57 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $101.57 | ↓ -88% |
| Aetna | CHIP/Medicaid | $120.04 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $133.67 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $136.94 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $143.75 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $146.12 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $157.37 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $265.44 | ↓ -68% |
| UPMC Health Plan | Managed Medicare | $277.85 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $291.75 | ↓ -65% |
| UPMC Health Plan | Partners/Select | $304.54 | ↓ -63% |
| Aetna of PA | Medicare | $311.72 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $320.60 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $320.63 | ↓ -61% |
| United Healthcare | Medicare | $320.63 | ↓ -61% |
| Aetna | Medicare | $326.57 | ↓ -61% |
| Highmark BCBS of PA | Managed Care | $355.48 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity | $390.71 | ↓ -53% |
| UPMC Health Plan | CHIP | $485.10 | ↓ -42% |
| Aetna | Neighborhood Network | $498.96 | ↓ -40% |
| Highmark BCBS of PA | UPMC Emergent | $533.22 | ↓ -36% |
| Aetna | EBR FI | $540.54 | ↓ -35% |
| Aetna | Home Depot Employer Group | $543.31 | ↓ -35% |
| Cigna | New Business ASO | $554.40 | ↓ -33% |
| Aetna | EBR ASO | $554.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $554.40 | ↓ -33% |
| Cigna | Commercial | $554.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $602.91 | ↓ -28% |
| InterGroup | PPO | $693.00 | ↓ -17% |
| Coventry/First Health | Commercial | $970.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,108.80 | ↑ +33% |
| Humana | Commercial | $1,178.10 | ↑ +42% |
| Private Health Care Systems | PPO | $1,178.10 | ↑ +42% |
| Multiplan | PPO | $1,275.12 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Aep thrshld est mlt freq i&r at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $519.60 | $86.16 – $326.57 |
| UPMC Presbyterian | Pittsburgh | $1,593.60 | $86.98 – $326.57 |
| UPMC St. Margaret | Pittsburgh | $1,635.60 | $86.98 – $326.57 |
| UPMC Altoona | Altoona | $261.00 | $86.16 – $348.00 |
| UPMC Hamot | Erie | $898.20 | $86.16 – $395.44 |
| UPMC Jameson | New Castle | $1,593.60 | $87.68 – $371.10 |
| UPMC Wellsboro | Wellsboro | $295.20 | $101.57 – $157.37 |
| Uniontown Hospital | Uniontown | $619.00 | $78.24 – $434.70 |