Blink reflex test at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$325.20
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.
$542.00
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.
$23.65 with UPMC Health Plan vs $498.64 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 | $23.65 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $23.65 | ↓ -93% |
| Aetna | CHIP/Medicaid | $27.95 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.88 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $33.47 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $34.02 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $36.64 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $53.00 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $55.45 | ↓ -83% |
| UPMC Health Plan | Partners/Select | $58.09 | ↓ -82% |
| Aetna of PA | Medicare | $59.46 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.15 | ↓ -81% |
| United Healthcare | Medicare | $61.16 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $61.16 | ↓ -81% |
| Aetna | Medicare | $62.29 | ↓ -81% |
| UPMC Health Plan | CHIP | $160.50 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $169.23 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $177.84 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $186.00 | ↓ -43% |
| Aetna | Neighborhood Network | $195.12 | ↓ -40% |
| Aetna | EBR FI | $211.38 | ↓ -35% |
| Aetna | Home Depot Employer Group | $212.46 | ↓ -35% |
| Cigna | New Business ASO | $216.80 | ↓ -33% |
| Aetna | EBR ASO | $216.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $216.80 | ↓ -33% |
| Cigna | Commercial | $216.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $226.63 | ↓ -30% |
| UPMC Health Plan | Commercial | $247.94 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Indemnity | $249.09 | ↓ -23% |
| InterGroup | PPO | $271.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $339.95 | ↑ +5% |
| Coventry/First Health | Commercial | $379.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $433.60 | ↑ +33% |
| Private Health Care Systems | PPO | $460.70 | ↑ +42% |
| Humana | Commercial | $460.70 | ↑ +42% |
| Multiplan | PPO | $498.64 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Blink reflex test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $310.20 | $23.65 – $178.25 |
| UPMC Presbyterian | Pittsburgh | $378.00 | $15.00 – $207.27 |
| UPMC Altoona | Altoona | $247.20 | $12.50 – $329.60 |
| UPMC Cole | Coudersport | $88.20 | $19.68 – $162.72 |
| UPMC Northwest | Seneca | $159.60 | $23.65 – $164.99 |
| WellSpan Chambersburg Hospital | Chambersburg | $192.80 | $15.63 – $273.17 |
| WellSpan Ephrata Community Hospital | Ephrata | $189.60 | $15.63 – $100.40 |