Analysis; simple cranial nerv pulse gen prgrmg 95976 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$148.20
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.
?
What you pay up front if you don't use insurance.
$247.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$25.31 with Highmark BCBS of PA vs $227.24 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $25.31 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $33.27 | ↓ -78% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $35.53 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $35.53 | ↓ -76% |
| UPMC Health Plan | Partners/Select | $36.47 | ↓ -75% |
| Aetna of PA | Medicare | $37.33 | ↓ -75% |
| United Healthcare | Medicare | $38.39 | ↓ -74% |
| AmeriHealth Caritas | Medicare | $38.39 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $38.39 | ↓ -74% |
| Aetna | Medicare | $39.10 | ↓ -74% |
| Aetna | CHIP/Medicaid | $41.99 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.90 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $49.74 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $50.28 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $51.11 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $55.05 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $77.25 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $84.91 | ↓ -43% |
| UPMC Health Plan | CHIP | $86.45 | ↓ -42% |
| Aetna | Neighborhood Network | $88.92 | ↓ -40% |
| Aetna | EBR FI | $96.33 | ↓ -35% |
| Aetna | Home Depot Employer Group | $96.82 | ↓ -35% |
| Cigna | New Business ASO | $98.80 | ↓ -33% |
| Aetna | EBR ASO | $98.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $98.80 | ↓ -33% |
| Cigna | Commercial | $98.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $103.46 | ↓ -30% |
| UPMC Health Plan | Commercial | $107.44 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Indemnity | $113.72 | ↓ -23% |
| InterGroup | PPO | $123.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $155.19 | ↑ +5% |
| Coventry/First Health | Commercial | $172.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $197.60 | ↑ +33% |
| Private Health Care Systems | PPO | $209.95 | ↑ +42% |
| Humana | Commercial | $209.95 | ↑ +42% |
| Multiplan | PPO | $227.24 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Analysis; simple cranial nerv pulse gen prgrmg 95976 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $68.00 | $27.79 – $75.13 |