Alginate drsg >16 <=48 sq in at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$133.20
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.
$222.00
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.
$1.80 with Aetna vs $201.05 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 | CHIP/Medicaid | $1.80 | ↓ -99% |
| Aetna | Neighborhood Network | $3.60 | ↓ -97% |
| Aetna | EBR FI | $3.90 | ↓ -97% |
| Aetna | Home Depot Employer Group | $3.92 | ↓ -97% |
| Aetna | EBR ASO | $4.00 | ↓ -97% |
| Cigna | New Business ASO | $4.00 | ↓ -97% |
| Aetna | NBR ASO/FI | $4.00 | ↓ -97% |
| Cigna | Commercial | $4.00 | ↓ -97% |
| InterGroup | PPO | $5.00 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $5.00 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $5.50 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $5.50 | ↓ -96% |
| Coventry/First Health | Commercial | $7.00 | ↓ -95% |
| Preferred Healthcare System | PPO | $8.00 | ↓ -94% |
| Humana | Commercial | $8.50 | ↓ -94% |
| Private Health Care Systems | PPO | $8.50 | ↓ -94% |
| Multiplan | PPO | $9.20 | ↓ -93% |
| Aetna | Medicare | $15.49 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $29.42 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $37.91 | ↓ -72% |
| UPMC Health Plan | CHIP | $91.90 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $98.70 | ↓ -26% |
| Highmark BCBS of PA | Managed Care - Social Mission | $100.08 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Indemnity | $132.18 | ↓ -1% |
| Highmark BCBS of PA | Managed Care | $134.03 | ↑ +1% |
| UPMC Health Plan | Commercial | $141.96 | ↑ +7% |
| Highmark BCBS of PA | UPMC Emergent | $201.05 | ↑ +51% |
Visitor-reported prices
Comments
Alginate drsg >16 <=48 sq in at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $141.00 | $29.15 – $72.57 |
| UPMC Passavant-McCandless | Pittsburgh | $141.00 | $29.42 – $133.35 |
| UPMC Presbyterian | Pittsburgh | $189.00 | $17.77 – $148.58 |
| UPMC St. Margaret | Pittsburgh | $141.00 | $29.42 – $112.76 |
| UPMC Altoona | Altoona | $161.40 | $5.00 – $91.90 |
| UPMC Bedford | Everett | $105.00 | $6.75 – $91.90 |
| UPMC East | Monroeville | $118.20 | $2.50 – $91.90 |
| UPMC Hamot | Erie | $141.00 | $29.15 – $37.91 |