Artery x-rays spine at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,917.80
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.
$4,863.00
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.
$41.25 with UPMC Health Plan vs $5,669.06 with Aetna — 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 | $41.25 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $41.25 | ↓ -99% |
| Aetna | CHIP/Medicaid | $48.75 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $55.61 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $58.38 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $59.34 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $63.91 | ↓ -98% |
| UPMC Health Plan | Commercial | $614.22 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $676.91 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $1,455.72 | ↓ -50% |
| Aetna | Neighborhood Network | $1,750.68 | ↓ -40% |
| Aetna | EBR FI | $1,896.57 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,906.30 | ↓ -35% |
| Cigna | New Business ASO | $1,945.20 | ↓ -33% |
| Cigna | Commercial | $1,945.20 | ↓ -33% |
| Aetna | EBR ASO | $1,945.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,945.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,958.37 | ↓ -33% |
| UPMC Health Plan | CHIP | $2,110.08 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,270.58 | ↓ -22% |
| InterGroup | PPO | $2,431.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $2,622.62 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,040.81 | ↑ +4% |
| Coventry/First Health | Commercial | $3,404.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $3,890.40 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $3,933.94 | ↑ +35% |
| Private Health Care Systems | PPO | $4,133.55 | ↑ +42% |
| Humana | Commercial | $4,133.55 | ↑ +42% |
| Multiplan | PPO | $4,473.96 | ↑ +53% |
| UPMC Health Plan | Managed Medicare | $4,823.34 | ↑ +65% |
| UPMC Health Plan | Partners/Select | $5,286.66 | ↑ +81% |
| Aetna of PA | Medicare | $5,411.37 | ↑ +85% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,565.47 | ↑ +91% |
| United Healthcare | Medicare | $5,565.99 | ↑ +91% |
| AmeriHealth Caritas | Medicare | $5,565.99 | ↑ +91% |
| Aetna | Medicare | $5,669.06 | ↑ +94% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Artery x-rays spine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,866.20 | $41.25 – $5,669.06 |
| UPMC Presbyterian | Pittsburgh | $14,206.80 | $27.00 – $5,669.06 |
| UPMC Altoona | Altoona | $2,640.60 | $22.50 – $3,520.80 |
| UPMC Carlisle | Carlisle | $9,796.20 | $29.48 – $13,877.95 |
| UPMC Community Osteopathic | Harrisburg | $9,796.20 | $29.48 – $13,877.95 |
| UPMC East | Monroeville | $6,919.80 | $41.25 – $9,226.40 |
| UPMC Hamot | Erie | $5,738.40 | $41.25 – $6,823.64 |
| UPMC Hanover | Hanover | $9,796.20 | $29.48 – $8,262.51 |