Clsd tx/dis phalan fx without manip/ea 26750 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$384.00
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.
$640.00
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.
$52.80 with UPMC Health Plan vs $588.80 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 | $52.80 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $52.80 | ↓ -86% |
| Aetna | CHIP/Medicaid | $62.40 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $71.18 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $74.72 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $75.96 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $81.80 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $93.83 | ↓ -76% |
| UPMC Health Plan | Commercial | $176.34 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $214.04 | ↓ -44% |
| Aetna | Neighborhood Network | $230.40 | ↓ -40% |
| UPMC Health Plan | Partners/Select | $234.60 | ↓ -39% |
| Aetna of PA | Medicare | $240.13 | ↓ -37% |
| UPMC Work Partners | Workers Comp | $244.27 | ↓ -36% |
| Highmark Wholecare (prev Gateway) | Medicare | $246.97 | ↓ -36% |
| AmeriHealth Caritas | Medicare | $247.00 | ↓ -36% |
| United Healthcare | Medicare | $247.00 | ↓ -36% |
| Aetna | EBR FI | $249.60 | ↓ -35% |
| Aetna | Home Depot Employer Group | $250.88 | ↓ -35% |
| Aetna | Medicare | $251.57 | ↓ -34% |
| Cigna | New Business ASO | $256.00 | ↓ -33% |
| Aetna | EBR ASO | $256.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $256.00 | ↓ -33% |
| Cigna | Commercial | $256.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $271.44 | ↓ -29% |
| UPMC Health Plan | CHIP | $284.82 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $314.72 | ↓ -18% |
| InterGroup | PPO | $320.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $363.51 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Indemnity | $421.48 | ↑ +10% |
| Coventry/First Health | Commercial | $448.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $512.00 | ↑ +33% |
| Private Health Care Systems | PPO | $544.00 | ↑ +42% |
| Humana | Commercial | $544.00 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $545.27 | ↑ +42% |
| Multiplan | PPO | $588.80 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx/dis phalan fx without manip/ea 26750 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $592.80 | $52.80 – $284.03 |
| UPMC Bedford | Everett | $229.20 | $50.40 – $343.80 |
| UPMC Carlisle | Carlisle | $370.80 | $60.96 – $525.30 |
| UPMC Cole | Coudersport | $578.40 | $42.41 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $370.80 | $60.96 – $525.30 |
| UPMC Hanover | Hanover | $370.80 | $60.96 – $366.66 |
| UPMC Kane | Kane | $595.20 | $52.80 – $809.08 |
| UPMC Lititz | Lititz | $370.80 | $60.96 – $368.64 |