Chrom analysis at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$652.20
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.
$1,087.00
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.
$32.58 with UPMC Health Plan vs $943.00 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $32.58 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $34.41 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $35.71 | ↓ -95% |
| Aetna of PA | Medicare | $36.55 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $37.59 | ↓ -94% |
| United Healthcare | Medicare | $37.59 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $37.59 | ↓ -94% |
| Aetna | Medicare | $38.29 | ↓ -94% |
| UPMC Health Plan | Commercial | $53.06 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $67.85 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $107.86 | ↓ -83% |
| Highmark BCBS of PA | Managed Care | $144.45 | ↓ -78% |
| UPMC Health Plan | CHIP | $182.28 | ↓ -72% |
| Aetna | CHIP/Medicaid | $184.50 | ↓ -72% |
| Highmark BCBS of PA | UPMC Emergent | $216.68 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $227.61 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Indemnity | $304.81 | ↓ -53% |
| Aetna | Neighborhood Network | $369.00 | ↓ -43% |
| Aetna | EBR FI | $399.75 | ↓ -39% |
| Aetna | Home Depot Employer Group | $401.80 | ↓ -38% |
| Aetna | NBR ASO/FI | $410.00 | ↓ -37% |
| Cigna | New Business ASO | $410.00 | ↓ -37% |
| Cigna | Commercial | $410.00 | ↓ -37% |
| Aetna | EBR ASO | $410.00 | ↓ -37% |
| InterGroup | PPO | $512.50 | ↓ -21% |
| Geisinger | Medicaid/CHIP | $563.75 | ↓ -14% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $563.75 | ↓ -14% |
| Coventry/First Health | Commercial | $717.50 | ↑ +10% |
| Preferred Healthcare System | PPO | $820.00 | ↑ +26% |
| Private Health Care Systems | PPO | $871.25 | ↑ +34% |
| Humana | Commercial | $871.25 | ↑ +34% |
| Multiplan | PPO | $943.00 | ↑ +45% |
Visitor-reported prices
Comments
Chrom analysis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $309.60 | $25.48 – $67.85 |
| UPMC Altoona | Altoona | $123.00 | $34.41 – $164.00 |
| UPMC Bedford | Everett | $234.00 | $12.56 – $351.00 |
| UPMC Carlisle | Carlisle | $126.00 | $19.15 – $178.50 |
| UPMC Community Osteopathic | Harrisburg | $126.00 | $27.81 – $182.28 |
| UPMC Hamot | Erie | $367.20 | $34.41 – $67.21 |
| UPMC Northwest | Seneca | $228.60 | $31.57 – $37.59 |
| UPMC Kane | Kane | $474.60 | $34.41 – $150.24 |