Br punct aspir ea add, l at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$203.40
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.
$339.00
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.
$20.27 with Aetna vs $327.17 with Highmark BCBS of PA — 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 | $20.27 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $22.43 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $22.43 | ↓ -89% |
| Aetna | CHIP/Medicaid | $26.51 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $30.24 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $31.74 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $32.27 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $34.75 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $56.30 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $68.61 | ↓ -66% |
| UPMC Health Plan | Commercial | $113.20 | ↓ -44% |
| Aetna | Neighborhood Network | $122.04 | ↓ -40% |
| Aetna | EBR FI | $132.21 | ↓ -35% |
| Aetna | Home Depot Employer Group | $132.89 | ↓ -35% |
| Cigna | New Business ASO | $135.60 | ↓ -33% |
| Aetna | EBR ASO | $135.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $135.60 | ↓ -33% |
| Cigna | Commercial | $135.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $162.87 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $169.50 | ↓ -17% |
| InterGroup | PPO | $169.50 | ↓ -17% |
| UPMC Health Plan | CHIP | $182.84 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $188.83 | ↓ -7% |
| Highmark BCBS of PA | Managed Care | $218.11 | ↑ +7% |
| Coventry/First Health | Commercial | $237.30 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $252.89 | ↑ +24% |
| Preferred Healthcare System | PPO | $271.20 | ↑ +33% |
| Private Health Care Systems | PPO | $288.15 | ↑ +42% |
| Humana | Commercial | $288.15 | ↑ +42% |
| Multiplan | PPO | $311.88 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $327.17 | ↑ +61% |
Visitor-reported prices
Comments
Br punct aspir ea add, l at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $231.60 | $20.39 – $308.80 |
| UPMC Bedford | Everett | $401.40 | $21.41 – $602.10 |
| UPMC Carlisle | Carlisle | $497.40 | $25.90 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $497.40 | $26.71 – $704.65 |
| UPMC Northwest | Seneca | $361.80 | $22.43 – $144.73 |
| UPMC Hanover | Hanover | $497.40 | $25.90 – $67.28 |
| UPMC Lititz | Lititz | $497.40 | $18.43 – $66.60 |
| UPMC Memorial | York | $497.40 | $18.43 – $67.28 |