Aquatic exercise - group charge at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$80.40
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.
$134.00
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.
$13.46 with Aetna vs $132.97 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | Medicare | $13.46 | ↓ -83% |
| Aetna | CHIP/Medicaid | $24.12 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $25.73 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $44.15 | ↓ -45% |
| Aetna | Neighborhood Network | $48.24 | ↓ -40% |
| Aetna | EBR FI | $52.26 | ↓ -35% |
| Aetna | Home Depot Employer Group | $52.53 | ↓ -35% |
| Cigna | Commercial | $53.60 | ↓ -33% |
| Cigna | New Business ASO | $53.60 | ↓ -33% |
| Aetna | EBR ASO | $53.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $53.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $64.20 | ↓ -20% |
| InterGroup | PPO | $67.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $67.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $73.70 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $73.70 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $85.98 | ↑ +7% |
| UPMC Health Plan | CHIP | $86.07 | ↑ +7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $86.30 | ↑ +7% |
| Coventry/First Health | Commercial | $93.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $107.20 | ↑ +33% |
| Private Health Care Systems | PPO | $113.90 | ↑ +42% |
| Humana | Commercial | $113.90 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $115.57 | ↑ +44% |
| Multiplan | PPO | $123.28 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $128.96 | ↑ +60% |
| UPMC Health Plan | Commercial | $132.97 | ↑ +65% |
Visitor-reported prices
Comments
Aquatic exercise - group charge at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $96.00 | $25.48 – $67.97 |
| UPMC Passavant-McCandless | Pittsburgh | $95.40 | $25.73 – $124.90 |
| UPMC Presbyterian | Pittsburgh | $70.80 | $8.50 – $139.16 |
| UPMC St. Margaret | Pittsburgh | $156.60 | $25.73 – $105.62 |
| UPMC Altoona | Altoona | $115.80 | $25.48 – $154.40 |
| UPMC Bedford | Everett | $75.00 | $31.25 – $112.50 |
| UPMC Carlisle | Carlisle | $171.60 | $9.27 – $387.00 |
| UPMC Cole | Coudersport | $65.40 | $18.36 – $87.20 |