Collection blood specimen from completely implantable venous access device at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$81.00
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.
?
What you pay up front if you don't use insurance.
$135.00
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.
$24.30 with Aetna vs $208.95 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $24.30 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $31.08 | ↓ -62% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $35.95 | ↓ -56% |
| Aetna | Neighborhood Network | $48.60 | ↓ -40% |
| Aetna | EBR FI | $52.65 | ↓ -35% |
| Aetna | Home Depot Employer Group | $52.92 | ↓ -35% |
| Cigna | Commercial | $54.00 | ↓ -33% |
| Aetna | EBR ASO | $54.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $54.00 | ↓ -33% |
| Cigna | New Business ASO | $54.00 | ↓ -33% |
| InterGroup | PPO | $67.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $74.25 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $74.25 | ↓ -8% |
| Coventry/First Health | Commercial | $94.50 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $104.02 | ↑ +28% |
| Preferred Healthcare System | PPO | $108.00 | ↑ +33% |
| UPMC Health Plan | Commercial | $109.82 | ↑ +36% |
| Humana | Commercial | $114.75 | ↑ +42% |
| Private Health Care Systems | PPO | $114.75 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $115.01 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $120.60 | ↑ +49% |
| UPMC Health Plan | CHIP | $120.96 | ↑ +49% |
| Multiplan | PPO | $124.20 | ↑ +53% |
| UPMC Health Plan | Partners/Select | $126.06 | ↑ +56% |
| Aetna of PA | Medicare | $129.03 | ↑ +59% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.71 | ↑ +64% |
| AmeriHealth Caritas | Medicare | $132.72 | ↑ +64% |
| United Healthcare | Medicare | $132.72 | ↑ +64% |
| Aetna | Medicare | $135.18 | ↑ +67% |
| Highmark BCBS of PA | Managed Care | $139.30 | ↑ +72% |
| Highmark BCBS of PA | Commercial - Indemnity | $161.51 | ↑ +99% |
| Highmark BCBS of PA | UPMC Emergent | $208.95 | ↑ +158% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Collection blood specimen from completely implantable venous access device at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $125.40 | $35.61 – $135.18 |
| UPMC Passavant-McCandless | Pittsburgh | $243.00 | $31.08 – $135.18 |
| UPMC Presbyterian | Pittsburgh | $218.40 | $35.95 – $135.18 |
| UPMC St. Margaret | Pittsburgh | $71.40 | $31.08 – $135.18 |
| UPMC Altoona | Altoona | $50.40 | $31.08 – $132.72 |
| UPMC Bedford | Everett | $189.00 | $31.08 – $283.50 |
| UPMC Carlisle | Carlisle | $155.40 | $32.53 – $220.15 |
| UPMC Cole | Coudersport | $71.40 | $31.08 – $98.03 |