Clsd tx/metatarsal fx without manip 28470 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$748.20
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.
$1,247.00
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.
$92.95 with UPMC Health Plan vs $1,147.24 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 | $92.95 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $92.95 | ↓ -88% |
| Aetna | CHIP/Medicaid | $109.85 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $125.31 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $131.35 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $131.54 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $133.71 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $144.00 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $214.04 | ↓ -71% |
| UPMC Health Plan | Partners/Select | $234.60 | ↓ -69% |
| Aetna of PA | Medicare | $240.13 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $246.97 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $247.00 | ↓ -67% |
| United Healthcare | Medicare | $247.00 | ↓ -67% |
| Aetna | Medicare | $251.57 | ↓ -66% |
| UPMC Health Plan | Commercial | $259.97 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $376.02 | ↓ -50% |
| Highmark BCBS of PA | Managed Care - Social Mission | $380.02 | ↓ -49% |
| UPMC Health Plan | CHIP | $419.89 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $440.61 | ↓ -41% |
| Aetna | Neighborhood Network | $448.92 | ↓ -40% |
| Aetna | EBR FI | $486.33 | ↓ -35% |
| Aetna | Home Depot Employer Group | $488.82 | ↓ -35% |
| Cigna | New Business ASO | $498.80 | ↓ -33% |
| Aetna | EBR ASO | $498.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $498.80 | ↓ -33% |
| Cigna | Commercial | $498.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $508.92 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $590.07 | ↓ -21% |
| InterGroup | PPO | $623.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $763.38 | ↑ +2% |
| Coventry/First Health | Commercial | $872.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $997.60 | ↑ +33% |
| Private Health Care Systems | PPO | $1,059.95 | ↑ +42% |
| Humana | Commercial | $1,059.95 | ↑ +42% |
| Multiplan | PPO | $1,147.24 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx/metatarsal fx without manip 28470 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $551.40 | $82.51 – $827.10 |
| UPMC Carlisle | Carlisle | $520.80 | $107.31 – $1,016.56 |
| UPMC Cole | Coudersport | $693.00 | $51.00 – $340.84 |
| UPMC Community Osteopathic | Harrisburg | $520.80 | $107.31 – $1,016.56 |
| UPMC Hanover | Hanover | $520.80 | $107.31 – $1,016.56 |
| UPMC Lititz | Lititz | $520.80 | $107.31 – $1,016.56 |
| UPMC Memorial | York | $520.80 | $106.05 – $1,016.56 |
| UPMC Muncy | Muncy | $825.60 | $92.95 – $993.28 |