Bone marrow imaging mult at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$934.20
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.
$1,557.00
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.
$117.00 with UPMC Health Plan vs $1,432.44 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 | $117.00 | ↓ -87% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $117.00 | ↓ -87% |
| Aetna | CHIP/Medicaid | $138.27 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $157.73 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $165.57 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $168.30 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $181.26 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $199.38 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $358.54 | ↓ -62% |
| UPMC Health Plan | Partners/Select | $392.98 | ↓ -58% |
| Aetna of PA | Medicare | $402.25 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicare | $413.71 | ↓ -56% |
| United Healthcare | Medicare | $413.75 | ↓ -56% |
| AmeriHealth Caritas | Medicare | $413.75 | ↓ -56% |
| Aetna | Medicare | $421.41 | ↓ -55% |
| UPMC Work Partners | Workers Comp | $451.95 | ↓ -52% |
| UPMC Health Plan | Commercial | $503.45 | ↓ -46% |
| Aetna | Neighborhood Network | $560.52 | ↓ -40% |
| Highmark BCBS of PA | Managed Care - Social Mission | $576.82 | ↓ -38% |
| Aetna | EBR FI | $607.23 | ↓ -35% |
| Aetna | Home Depot Employer Group | $610.34 | ↓ -35% |
| Cigna | Commercial | $622.80 | ↓ -33% |
| Cigna | New Business ASO | $622.80 | ↓ -33% |
| Aetna | EBR ASO | $622.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $622.80 | ↓ -33% |
| UPMC Health Plan | CHIP | $631.57 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $668.78 | ↓ -28% |
| Highmark BCBS of PA | Managed Care | $772.47 | ↓ -17% |
| InterGroup | PPO | $778.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $895.64 | ↓ -4% |
| Coventry/First Health | Commercial | $1,089.90 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $1,158.71 | ↑ +24% |
| Preferred Healthcare System | PPO | $1,245.60 | ↑ +33% |
| Private Health Care Systems | PPO | $1,323.45 | ↑ +42% |
| Humana | Commercial | $1,323.45 | ↑ +42% |
| Multiplan | PPO | $1,432.44 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bone marrow imaging mult at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,090.80 | $117.00 – $525.52 |
| UPMC Carlisle | Carlisle | $1,228.80 | $93.67 – $1,740.80 |
| UPMC Community Osteopathic | Harrisburg | $1,228.80 | $93.67 – $1,740.80 |
| UPMC Hanover | Hanover | $1,228.80 | $93.67 – $614.19 |
| UPMC Jameson | New Castle | $653.40 | $82.22 – $478.88 |
| UPMC Lititz | Lititz | $1,228.80 | $93.67 – $617.50 |
| UPMC Memorial | York | $1,228.80 | $93.67 – $1,061.92 |
| UPMC Somerset | Somerset | $1,228.80 | $82.22 – $453.39 |