Chromo high res and frag x - sendout at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,007.40
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.
$1,679.00
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.
$50.19 with UPMC Health Plan vs $969.68 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 Medicaid | $50.19 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $50.19 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $53.38 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $56.38 | ↓ -94% |
| UPMC Health Plan | Partners/Select | $58.51 | ↓ -94% |
| Aetna | CHIP/Medicaid | $59.32 | ↓ -94% |
| Aetna of PA | Medicare | $59.89 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $61.60 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.60 | ↓ -94% |
| United Healthcare | Medicare | $61.60 | ↓ -94% |
| Aetna | Medicare | $62.74 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $67.67 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $71.03 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $72.20 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $77.76 | ↓ -92% |
| UPMC Health Plan | Commercial | $116.08 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $154.81 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $246.08 | ↓ -76% |
| Highmark BCBS of PA | Managed Care | $329.57 | ↓ -67% |
| Aetna | Neighborhood Network | $379.44 | ↓ -62% |
| UPMC Health Plan | CHIP | $398.78 | ↓ -60% |
| Aetna | EBR FI | $411.06 | ↓ -59% |
| Aetna | Home Depot Employer Group | $413.17 | ↓ -59% |
| Cigna | New Business ASO | $421.60 | ↓ -58% |
| Aetna | EBR ASO | $421.60 | ↓ -58% |
| Aetna | NBR ASO/FI | $421.60 | ↓ -58% |
| Cigna | Commercial | $421.60 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $494.36 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $519.29 | ↓ -48% |
| InterGroup | PPO | $527.00 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Indemnity | $695.44 | ↓ -31% |
| Coventry/First Health | Commercial | $737.80 | ↓ -27% |
| Preferred Healthcare System | PPO | $843.20 | ↓ -16% |
| Humana | Commercial | $895.90 | ↓ -11% |
| Private Health Care Systems | PPO | $895.90 | ↓ -11% |
| Multiplan | PPO | $969.68 | ↓ -4% |
Visitor-reported prices
Comments
Chromo high res and frag x - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,067.40 | $50.19 – $154.81 |
| UPMC Carlisle | Carlisle | $329.40 | $43.94 – $466.65 |
| UPMC Community Osteopathic | Harrisburg | $329.40 | $45.63 – $466.65 |
| UPMC Hanover | Hanover | $329.40 | $43.94 – $91.26 |
| UPMC Lititz | Lititz | $329.40 | $43.94 – $91.26 |
| UPMC Memorial | York | $329.40 | $43.94 – $282.61 |
| UPMC Muncy | Muncy | $688.80 | $50.19 – $77.76 |
| UPMC Somerset | Somerset | $329.40 | $50.19 – $93.14 |