Apply interstit radiat compl at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$4,761.00
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.
$7,935.00
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.
$361.85 with UPMC Health Plan vs $7,300.20 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 | $361.85 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $361.85 | ↓ -92% |
| Aetna | CHIP/Medicaid | $427.63 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $487.83 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $512.08 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $520.53 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $560.60 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $619.06 | ↓ -87% |
| UPMC Health Plan | Partners/Select | $678.53 | ↓ -86% |
| Aetna of PA | Medicare | $694.53 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $714.31 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $714.38 | ↓ -85% |
| United Healthcare | Medicare | $714.38 | ↓ -85% |
| Aetna | Medicare | $727.61 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $911.57 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $2,036.11 | ↓ -57% |
| UPMC Health Plan | Commercial | $2,282.18 | ↓ -52% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,637.25 | ↓ -45% |
| Aetna | Neighborhood Network | $2,856.60 | ↓ -40% |
| UPMC Health Plan | CHIP | $2,862.94 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,057.69 | ↓ -36% |
| Aetna | EBR FI | $3,094.65 | ↓ -35% |
| Aetna | Home Depot Employer Group | $3,110.52 | ↓ -35% |
| Aetna | NBR ASO/FI | $3,174.00 | ↓ -33% |
| Aetna | EBR ASO | $3,174.00 | ↓ -33% |
| Cigna | New Business ASO | $3,174.00 | ↓ -33% |
| Cigna | Commercial | $3,174.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $3,531.77 | ↓ -26% |
| InterGroup | PPO | $3,967.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,094.93 | ↓ -14% |
| Highmark BCBS of PA | UPMC Emergent | $5,297.67 | ↑ +11% |
| Coventry/First Health | Commercial | $5,554.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $6,348.00 | ↑ +33% |
| Private Health Care Systems | PPO | $6,744.75 | ↑ +42% |
| Humana | Commercial | $6,744.75 | ↑ +42% |
| Multiplan | PPO | $7,300.20 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Apply interstit radiat compl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $4,419.00 | $361.85 – $2,044.05 |
| UPMC Passavant-McCandless | Pittsburgh | $10,167.00 | $361.85 – $2,367.57 |
| UPMC St. Margaret | Pittsburgh | $4,427.40 | $361.85 – $2,036.11 |
| UPMC Carlisle | Carlisle | $2,441.40 | $240.97 – $3,458.65 |
| UPMC Community Osteopathic | Harrisburg | $2,441.40 | $240.97 – $3,458.65 |
| UPMC East | Monroeville | $3,918.60 | $361.85 – $5,224.80 |
| UPMC Hamot | Erie | $5,286.00 | $361.85 – $2,036.11 |
| UPMC Hanover | Hanover | $2,441.40 | $240.97 – $2,033.17 |