Cath imag ivus pv 8.5fx90 .035 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,281.20
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.
$3,802.00
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.
$94.53 with Aetna vs $5,892.52 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 | $94.53 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $609.49 | ↓ -73% |
| Aetna | CHIP/Medicaid | $668.52 | ↓ -71% |
| Aetna | Neighborhood Network | $1,337.04 | ↓ -41% |
| Aetna | EBR FI | $1,448.46 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,455.89 | ↓ -36% |
| Cigna | New Business ASO | $1,485.60 | ↓ -35% |
| Aetna | EBR ASO | $1,485.60 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,485.60 | ↓ -35% |
| Cigna | Commercial | $1,485.60 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,857.00 | ↓ -19% |
| InterGroup | PPO | $1,857.00 | ↓ -19% |
| Geisinger | Medicaid/CHIP | $2,042.70 | ↓ -10% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,042.70 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,044.42 | ↓ -10% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,073.07 | ↓ -9% |
| Coventry/First Health | Commercial | $2,599.80 | ↑ +14% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,737.93 | ↑ +20% |
| Highmark BCBS of PA | Managed Care | $2,776.42 | ↑ +22% |
| Preferred Healthcare System | PPO | $2,971.20 | ↑ +30% |
| Humana | Commercial | $3,156.90 | ↑ +38% |
| Private Health Care Systems | PPO | $3,156.90 | ↑ +38% |
| Multiplan | PPO | $3,416.88 | ↑ +50% |
| UPMC Health Plan | CHIP | $3,814.33 | ↑ +67% |
| Highmark BCBS of PA | UPMC Emergent | $4,164.65 | ↑ +83% |
| UPMC Health Plan | Commercial | $5,892.52 | ↑ +158% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath imag ivus pv 8.5fx90 .035 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,611.40 | $603.74 – $3,011.96 |
| UPMC Passavant-McCandless | Pittsburgh | $5,895.00 | $609.49 – $5,535.07 |
| UPMC Presbyterian | Pittsburgh | $11,202.00 | $609.49 – $6,167.09 |
| UPMC St. Margaret | Pittsburgh | $3,339.60 | $609.49 – $4,680.45 |
| UPMC Altoona | Altoona | $2,126.40 | $42.50 – $3,814.33 |
| UPMC Community Osteopathic | Harrisburg | $7,522.20 | $690.60 – $3,814.33 |
| UPMC East | Monroeville | $6,164.40 | $14.50 – $3,814.33 |
| UPMC Hamot | Erie | $5,631.00 | $603.74 – $603.74 |