Cath 2lum 14.5frx43cm maxid kt mahurkar at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$941.40
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.
$1,569.00
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.
$6.60 with Aetna vs $1,496.47 with UPMC Health Plan — 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 | $6.60 | ↓ -99% |
| Aetna | CHIP/Medicaid | $47.52 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $76.82 | ↓ -92% |
| Aetna | Neighborhood Network | $95.04 | ↓ -90% |
| Aetna | EBR FI | $102.96 | ↓ -89% |
| Aetna | Home Depot Employer Group | $103.49 | ↓ -89% |
| Cigna | New Business ASO | $105.60 | ↓ -89% |
| Aetna | EBR ASO | $105.60 | ↓ -89% |
| Aetna | NBR ASO/FI | $105.60 | ↓ -89% |
| Cigna | Commercial | $105.60 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $110.22 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $110.22 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $112.99 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $132.00 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.00 | ↓ -86% |
| InterGroup | PPO | $132.00 | ↓ -86% |
| Coventry/First Health | Commercial | $184.80 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $195.84 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity | $195.84 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $202.30 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $202.30 | ↓ -79% |
| Preferred Healthcare System | PPO | $211.20 | ↓ -78% |
| Humana | Commercial | $224.40 | ↓ -76% |
| Private Health Care Systems | PPO | $224.40 | ↓ -76% |
| Multiplan | PPO | $242.88 | ↓ -74% |
| Highmark BCBS of PA | UPMC Emergent | $303.47 | ↓ -68% |
| UPMC Health Plan | CHIP | $968.69 | ↑ +3% |
| UPMC Health Plan | Commercial | $1,496.47 | ↑ +59% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath 2lum 14.5frx43cm maxid kt mahurkar at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,345.80 | $764.92 – $764.92 |
| UPMC Passavant-McCandless | Pittsburgh | $1,062.60 | $1,405.69 – $1,405.69 |
| UPMC Presbyterian | Pittsburgh | $1,950.00 | $1,566.20 – $1,566.20 |
| UPMC St. Margaret | Pittsburgh | $973.80 | $1,188.65 – $1,188.65 |
| UPMC Altoona | Altoona | $349.80 | $65.55 – $968.69 |
| UPMC Bedford | Everett | $161.40 | $51.11 – $968.69 |
| UPMC Carlisle | Carlisle | $97.20 | $22.19 – $137.70 |
| UPMC Community Osteopathic | Harrisburg | $364.20 | $32.40 – $968.69 |