An fluoro guide for cvp at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$723.00
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.
$1,205.00
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.
$66.41 with UPMC Health Plan vs $1,108.60 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 Health Plan | Managed Medicaid | $66.41 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $66.41 | ↓ -91% |
| Aetna | CHIP/Medicaid | $78.48 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $89.53 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $93.98 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $95.53 | ↓ -87% |
| Aetna | Medicare | $98.68 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $102.88 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $108.50 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $120.25 | ↓ -83% |
| UPMC Health Plan | Commercial | $236.55 | ↓ -67% |
| UPMC Health Plan | CHIP | $296.74 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $313.90 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $363.94 | ↓ -50% |
| Highmark BCBS of PA | Managed Care | $420.37 | ↓ -42% |
| Aetna | Neighborhood Network | $433.80 | ↓ -40% |
| Aetna | EBR FI | $469.95 | ↓ -35% |
| Aetna | Home Depot Employer Group | $472.36 | ↓ -35% |
| Cigna | Commercial | $482.00 | ↓ -33% |
| Aetna | EBR ASO | $482.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $482.00 | ↓ -33% |
| Cigna | New Business ASO | $482.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $487.40 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $602.50 | ↓ -17% |
| InterGroup | PPO | $602.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $630.56 | ↓ -13% |
| Coventry/First Health | Commercial | $843.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $964.00 | ↑ +33% |
| Private Health Care Systems | PPO | $1,024.25 | ↑ +42% |
| Humana | Commercial | $1,024.25 | ↑ +42% |
| Multiplan | PPO | $1,108.60 | ↑ +53% |
Visitor-reported prices
Comments
An fluoro guide for cvp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $528.00 | $66.41 – $145.68 |
| UPMC Passavant-McCandless | Pittsburgh | $559.80 | $66.41 – $139.83 |
| UPMC Presbyterian | Pittsburgh | $897.00 | $55.51 – $169.40 |
| UPMC St. Margaret | Pittsburgh | $574.80 | $66.41 – $120.25 |
| UPMC Altoona | Altoona | $318.60 | $46.26 – $424.80 |
| UPMC Bedford | Everett | $684.60 | $63.39 – $1,026.90 |
| UPMC Carlisle | Carlisle | $450.00 | $60.60 – $637.50 |
| UPMC Cole | Coudersport | $249.60 | $19.68 – $120.25 |