Bld prd mix at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$187.20
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.
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What you pay up front if you don't use insurance.
$312.00
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.
$37.97 with UPMC Health Plan vs $287.04 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 | Commercial | $37.97 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $48.21 | ↓ -74% |
| Aetna | CHIP/Medicaid | $56.16 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $76.63 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $102.63 | ↓ -45% |
| Aetna | Neighborhood Network | $112.32 | ↓ -40% |
| Aetna | EBR FI | $121.68 | ↓ -35% |
| Aetna | Home Depot Employer Group | $122.30 | ↓ -35% |
| Cigna | Commercial | $124.80 | ↓ -33% |
| Cigna | New Business ASO | $124.80 | ↓ -33% |
| Aetna | EBR ASO | $124.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $124.80 | ↓ -33% |
| UPMC Health Plan | CHIP | $130.42 | ↓ -30% |
| UPMC Health Plan | Managed Medicare | $152.90 | ↓ -18% |
| Highmark BCBS of PA | UPMC Emergent | $153.94 | ↓ -18% |
| InterGroup | PPO | $156.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $161.70 | ↓ -14% |
| UPMC Health Plan | Partners/Select | $167.58 | ↓ -10% |
| Aetna of PA | Medicare | $171.54 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $171.60 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $171.60 | ↓ -8% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↓ -6% |
| AmeriHealth Caritas | Medicare | $176.44 | ↓ -6% |
| United Healthcare | Medicare | $176.44 | ↓ -6% |
| Aetna | Medicare | $179.71 | ↓ -4% |
| Highmark BCBS of PA | Commercial - Indemnity | $216.56 | ↑ +16% |
| Coventry/First Health | Commercial | $218.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $249.60 | ↑ +33% |
| Private Health Care Systems | PPO | $265.20 | ↑ +42% |
| Humana | Commercial | $265.20 | ↑ +42% |
| Multiplan | PPO | $287.04 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Bld prd mix at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $81.60 | $35.98 – $179.71 |
| UPMC Passavant-McCandless | Pittsburgh | $106.80 | $36.19 – $179.71 |
| UPMC Presbyterian | Pittsburgh | $498.00 | $38.19 – $179.71 |
| UPMC St. Margaret | Pittsburgh | $237.00 | $36.28 – $179.71 |
| UPMC Carlisle | Carlisle | $201.60 | $46.03 – $285.60 |
| UPMC Community Osteopathic | Harrisburg | $201.60 | $67.20 – $285.60 |
| UPMC East | Monroeville | $369.60 | $35.88 – $492.80 |
| UPMC Hanover | Hanover | $201.60 | $88.20 – $261.92 |