Bra surgical elizabeth pink sm at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$96.00
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.
$160.00
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.
$16.56 with Aetna vs $325.04 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 | CHIP/Medicaid | $16.56 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.16 | ↓ -78% |
| Aetna | Medicare | $23.64 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $30.36 | ↓ -68% |
| Aetna | Neighborhood Network | $33.12 | ↓ -66% |
| Aetna | EBR FI | $35.88 | ↓ -63% |
| Aetna | Home Depot Employer Group | $36.06 | ↓ -62% |
| Cigna | New Business ASO | $36.80 | ↓ -62% |
| Aetna | EBR ASO | $36.80 | ↓ -62% |
| Aetna | NBR ASO/FI | $36.80 | ↓ -62% |
| Cigna | Commercial | $36.80 | ↓ -62% |
| InterGroup | PPO | $46.00 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $46.00 | ↓ -52% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $47.57 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $50.60 | ↓ -47% |
| Coventry/First Health | Commercial | $64.40 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $67.28 | ↓ -30% |
| Preferred Healthcare System | PPO | $73.60 | ↓ -23% |
| Private Health Care Systems | PPO | $78.20 | ↓ -19% |
| Humana | Commercial | $78.20 | ↓ -19% |
| Multiplan | PPO | $84.64 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $159.56 | ↑ +66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $161.80 | ↑ +69% |
| UPMC Health Plan | CHIP | $175.45 | ↑ +83% |
| Highmark BCBS of PA | Commercial - Indemnity | $213.69 | ↑ +123% |
| Highmark BCBS of PA | Managed Care | $216.69 | ↑ +126% |
| UPMC Health Plan | Commercial | $271.04 | ↑ +182% |
| Highmark BCBS of PA | UPMC Emergent | $325.04 | ↑ +239% |
Visitor-reported prices
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Bra surgical elizabeth pink sm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $55.20 | $47.12 – $138.54 |
| UPMC Passavant-McCandless | Pittsburgh | $55.20 | $47.57 – $254.60 |
| UPMC Presbyterian | Pittsburgh | $202.80 | $33.60 – $283.67 |
| UPMC St. Margaret | Pittsburgh | $55.20 | $47.57 – $215.29 |
| UPMC Altoona | Altoona | $172.20 | $47.12 – $229.60 |
| UPMC East | Monroeville | $74.40 | $23.56 – $175.45 |
| UPMC Hamot | Erie | $104.40 | $47.12 – $67.28 |
| UPMC Northwest | Seneca | $55.20 | $67.28 – $212.31 |