Buprenorphine X-ray over 100 mg at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$11,436.60
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.
$19,061.00
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.
$1,110.51 with Highmark BCBS of PA vs $10,985.72 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,110.51 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $1,273.17 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $1,887.17 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,016.42 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,016.42 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $2,016.42 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,016.42 | ↓ -82% |
| UPMC Health Plan | Partners/Select | $2,068.44 | ↓ -82% |
| Aetna of PA | Medicare | $2,117.24 | ↓ -81% |
| Aetna | CHIP/Medicaid | $2,137.41 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,177.53 | ↓ -81% |
| United Healthcare | Medicare | $2,177.73 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $2,177.73 | ↓ -81% |
| UPMC Health Plan | CHIP | $2,189.76 | ↓ -81% |
| Aetna | Medicare | $2,218.06 | ↓ -81% |
| UPMC Health Plan | Commercial | $2,480.20 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $2,740.46 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,725.03 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,777.22 | ↓ -67% |
| Aetna | Neighborhood Network | $4,298.76 | ↓ -62% |
| Aetna | EBR FI | $4,656.99 | ↓ -59% |
| Aetna | Home Depot Employer Group | $4,680.87 | ↓ -59% |
| Aetna | NBR ASO/FI | $4,776.40 | ↓ -58% |
| Aetna | EBR ASO | $4,776.40 | ↓ -58% |
| Cigna | New Business ASO | $4,776.40 | ↓ -58% |
| Cigna | Commercial | $4,776.40 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,988.64 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $5,058.77 | ↓ -56% |
| InterGroup | PPO | $5,970.50 | ↓ -48% |
| Highmark BCBS of PA | UPMC Emergent | $7,588.18 | ↓ -34% |
| Coventry/First Health | Commercial | $8,358.70 | ↓ -27% |
| Preferred Healthcare System | PPO | $9,552.80 | ↓ -16% |
| Private Health Care Systems | PPO | $10,149.85 | ↓ -11% |
| Humana | Commercial | $10,149.85 | ↓ -11% |
| Multiplan | PPO | $10,985.72 | ↓ -4% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Buprenorphine X-ray over 100 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7,598.40 | $1,100.04 – $2,218.06 |
| UPMC Passavant-McCandless | Pittsburgh | $11,436.60 | $1,110.51 – $2,218.06 |
| UPMC Presbyterian | Pittsburgh | $11,436.60 | $1,110.51 – $2,218.06 |
| UPMC St. Margaret | Pittsburgh | $7,963.80 | $1,110.51 – $2,218.06 |
| UPMC Western Psychiatric | Pittsburgh | $11,436.60 | $1,088.20 – $2,218.06 |
| UPMC Altoona | Altoona | $5,427.00 | $1,100.04 – $7,236.00 |
| UPMC Bedford | Everett | $7,360.20 | $727.52 – $11,040.30 |
| UPMC Carlisle | Carlisle | $806.40 | $184.13 – $3,226.27 |