Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,018.60
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.
?
What you pay up front if you don't use insurance.
$5,031.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$165.55 with United Healthcare Community Plan for Families vs $4,628.52 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $165.55 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $165.55 | ↓ -95% |
| Aetna | CHIP/Medicaid | $195.65 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $223.19 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $234.28 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $238.15 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $256.48 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $736.75 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $986.41 | ↓ -67% |
| UPMC Health Plan | Commercial | $1,423.81 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $1,428.00 | ↓ -53% |
| UPMC Health Plan | Partners/Select | $1,565.17 | ↓ -48% |
| Aetna of PA | Medicare | $1,602.09 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,647.71 | ↓ -45% |
| AmeriHealth Caritas | Medicare | $1,647.86 | ↓ -45% |
| United Healthcare | Medicare | $1,647.86 | ↓ -45% |
| Aetna | Medicare | $1,678.38 | ↓ -44% |
| Aetna | Neighborhood Network | $1,811.16 | ↓ -40% |
| Aetna | EBR FI | $1,962.09 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,972.15 | ↓ -35% |
| Cigna | New Business ASO | $2,012.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $2,012.40 | ↓ -33% |
| Cigna | Commercial | $2,012.40 | ↓ -33% |
| Aetna | EBR ASO | $2,012.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,131.49 | ↓ -29% |
| UPMC Health Plan | CHIP | $2,299.64 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,471.31 | ↓ -18% |
| InterGroup | PPO | $2,515.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $2,854.47 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,309.63 | ↑ +10% |
| Coventry/First Health | Commercial | $3,521.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $4,024.80 | ↑ +33% |
| Humana | Commercial | $4,276.35 | ↑ +42% |
| Private Health Care Systems | PPO | $4,276.35 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $4,281.72 | ↑ +42% |
| Multiplan | PPO | $4,628.52 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,417.00 | $165.55 – $1,678.38 |
| UPMC Passavant-McCandless | Pittsburgh | $2,073.00 | $165.55 – $1,678.38 |
| UPMC Presbyterian | Pittsburgh | $3,921.60 | $165.55 – $1,678.38 |
| UPMC Altoona | Altoona | $4,790.40 | $150.50 – $6,387.20 |
| UPMC Carlisle | Carlisle | $2,055.00 | $191.13 – $2,911.25 |
| UPMC Community Osteopathic | Harrisburg | $2,055.00 | $191.13 – $2,911.25 |
| UPMC East | Monroeville | $3,516.60 | $165.55 – $4,688.80 |
| UPMC Hamot | Erie | $4,482.00 | $165.55 – $2,219.16 |