Ana ds-dna at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$277.80
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.
$463.00
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.
$11.33 with UPMC Health Plan vs $425.96 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 Medicare | $11.33 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $11.96 | ↓ -96% |
| UPMC Health Plan | Partners/Select | $12.42 | ↓ -96% |
| Aetna of PA | Medicare | $12.72 | ↓ -95% |
| United Healthcare | Medicare | $13.08 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $13.08 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $13.08 | ↓ -95% |
| Aetna | Medicare | $13.32 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $18.40 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $18.40 | ↓ -93% |
| Aetna | CHIP/Medicaid | $21.75 | ↓ -92% |
| UPMC Health Plan | Commercial | $22.20 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $23.63 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.81 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $26.04 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.47 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28.51 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $37.55 | ↓ -86% |
| Highmark BCBS of PA | Managed Care | $50.29 | ↓ -82% |
| Highmark BCBS of PA | UPMC Emergent | $75.44 | ↓ -73% |
| UPMC Health Plan | CHIP | $76.27 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $79.25 | ↓ -71% |
| Highmark BCBS of PA | Commercial - Indemnity | $106.13 | ↓ -62% |
| Aetna | Neighborhood Network | $166.68 | ↓ -40% |
| Aetna | EBR FI | $180.57 | ↓ -35% |
| Aetna | Home Depot Employer Group | $181.50 | ↓ -35% |
| Cigna | New Business ASO | $185.20 | ↓ -33% |
| Aetna | EBR ASO | $185.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $185.20 | ↓ -33% |
| Cigna | Commercial | $185.20 | ↓ -33% |
| InterGroup | PPO | $231.50 | ↓ -17% |
| Coventry/First Health | Commercial | $324.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $370.40 | ↑ +33% |
| Private Health Care Systems | PPO | $393.55 | ↑ +42% |
| Humana | Commercial | $393.55 | ↑ +42% |
| Multiplan | PPO | $425.96 | ↑ +53% |
Visitor-reported prices
Comments
Ana ds-dna at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $240.00 | $11.25 – $23.63 |
| UPMC Carlisle | Carlisle | $44.40 | $10.14 – $62.90 |
| UPMC Cole | Coudersport | $84.00 | $7.87 – $112.00 |
| UPMC Community Osteopathic | Harrisburg | $44.40 | $11.99 – $76.27 |
| UPMC Hanover | Hanover | $44.40 | $11.99 – $22.79 |
| UPMC Kane | Kane | $208.20 | $11.96 – $52.27 |
| UPMC Lititz | Lititz | $44.40 | $11.99 – $22.79 |
| UPMC Memorial | York | $44.40 | $12.52 – $87.60 |