Brace ankle stablizing lg at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$301.20
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.
$502.00
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.
$55.64 with Aetna vs $778.95 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 | $55.64 | ↓ -82% |
| Aetna | CHIP/Medicaid | $85.32 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $109.02 | ↓ -64% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $114.00 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $156.42 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $161.22 | ↓ -46% |
| Aetna | Neighborhood Network | $170.64 | ↓ -43% |
| Aetna | EBR FI | $184.86 | ↓ -39% |
| Aetna | Home Depot Employer Group | $185.81 | ↓ -38% |
| Aetna | NBR ASO/FI | $189.60 | ↓ -37% |
| Cigna | New Business ASO | $189.60 | ↓ -37% |
| Cigna | Commercial | $189.60 | ↓ -37% |
| Aetna | EBR ASO | $189.60 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicare | $237.00 | ↓ -21% |
| InterGroup | PPO | $237.00 | ↓ -21% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $260.70 | ↓ -13% |
| Coventry/First Health | Commercial | $331.80 | ↑ +10% |
| Preferred Healthcare System | PPO | $379.20 | ↑ +26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $382.38 | ↑ +27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $387.74 | ↑ +29% |
| Humana | Commercial | $402.90 | ↑ +34% |
| Private Health Care Systems | PPO | $402.90 | ↑ +34% |
| UPMC Health Plan | CHIP | $420.50 | ↑ +40% |
| Multiplan | PPO | $436.08 | ↑ +45% |
| Highmark BCBS of PA | Commercial - Indemnity | $512.10 | ↑ +70% |
| Highmark BCBS of PA | Managed Care | $519.30 | ↑ +72% |
| UPMC Health Plan | Commercial | $649.61 | ↑ +116% |
| Highmark BCBS of PA | UPMC Emergent | $778.95 | ↑ +159% |
Visitor-reported prices
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Brace ankle stablizing lg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $302.40 | $112.92 – $332.05 |
| UPMC Passavant-McCandless | Pittsburgh | $321.00 | $114.00 – $610.20 |
| UPMC Presbyterian | Pittsburgh | $316.20 | $73.22 – $679.88 |
| UPMC St. Margaret | Pittsburgh | $310.20 | $114.00 – $515.99 |
| UPMC Altoona | Altoona | $272.40 | $86.26 – $420.50 |
| UPMC Bedford | Everett | $302.40 | $95.76 – $453.60 |
| UPMC East | Monroeville | $70.80 | $22.42 – $420.50 |
| UPMC Hamot | Erie | $345.00 | $112.92 – $161.22 |