Anl sp inf pmp w/mdreprg&fil at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$909.60
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.
$1,516.00
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.
$40.46 with UPMC Health Plan vs $1,394.72 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 | $40.46 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $40.46 | ↓ -96% |
| Aetna | CHIP/Medicaid | $47.81 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $54.54 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $57.26 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $58.20 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $62.68 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $157.03 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $180.04 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $267.60 | ↓ -71% |
| UPMC Health Plan | Partners/Select | $293.31 | ↓ -68% |
| Aetna of PA | Medicare | $300.23 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $308.78 | ↓ -66% |
| United Healthcare | Medicare | $308.80 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $308.80 | ↓ -66% |
| Aetna | Medicare | $314.52 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $479.22 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $526.72 | ↓ -42% |
| Aetna | Neighborhood Network | $545.76 | ↓ -40% |
| Aetna | EBR FI | $591.24 | ↓ -35% |
| Aetna | Home Depot Employer Group | $594.27 | ↓ -35% |
| Cigna | New Business ASO | $606.40 | ↓ -33% |
| Aetna | EBR ASO | $606.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $606.40 | ↓ -33% |
| Cigna | Commercial | $606.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $641.78 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Indemnity | $705.39 | ↓ -22% |
| InterGroup | PPO | $758.00 | ↓ -17% |
| UPMC Health Plan | Commercial | $956.88 | ↑ +5% |
| Highmark BCBS of PA | UPMC Emergent | $962.66 | ↑ +6% |
| UPMC Health Plan | CHIP | $1,053.98 | ↑ +16% |
| Coventry/First Health | Commercial | $1,061.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,212.80 | ↑ +33% |
| Humana | Commercial | $1,288.60 | ↑ +42% |
| Private Health Care Systems | PPO | $1,288.60 | ↑ +42% |
| Multiplan | PPO | $1,394.72 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Anl sp inf pmp w/mdreprg&fil at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $639.00 | $40.46 – $314.52 |
| UPMC Presbyterian | Pittsburgh | $1,131.00 | $40.46 – $314.52 |
| UPMC St. Margaret | Pittsburgh | $793.20 | $40.46 – $314.52 |
| UPMC Cole | Coudersport | $97.20 | $19.68 – $1,041.88 |
| UPMC Jameson | New Castle | $912.00 | $40.46 – $386.01 |
| UPMC Williamsport | Williamsport | $1,135.80 | $40.46 – $305.95 |
| Uniontown Hospital | Uniontown | $353.00 | $34.74 – $618.30 |
| UPMC Lititz | Lititz | not published | $46.71 – $460.88 |