Connect omega .5mm at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,543.80
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.
$2,573.00
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.
$159.66 with Aetna vs $3,294.77 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $159.66 | ↓ -90% |
| Aetna | Medicare | $198.20 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $204.01 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $292.71 | ↓ -81% |
| Aetna | Neighborhood Network | $319.32 | ↓ -79% |
| Aetna | EBR FI | $345.93 | ↓ -78% |
| Aetna | Home Depot Employer Group | $347.70 | ↓ -77% |
| Cigna | New Business ASO | $354.80 | ↓ -77% |
| Aetna | EBR ASO | $354.80 | ↓ -77% |
| Aetna | NBR ASO/FI | $354.80 | ↓ -77% |
| Cigna | Commercial | $354.80 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $426.53 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $443.50 | ↓ -71% |
| InterGroup | PPO | $443.50 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $487.85 | ↓ -68% |
| Coventry/First Health | Commercial | $620.90 | ↓ -60% |
| Preferred Healthcare System | PPO | $709.60 | ↓ -54% |
| Private Health Care Systems | PPO | $753.95 | ↓ -51% |
| Humana | Commercial | $753.95 | ↓ -51% |
| Multiplan | PPO | $816.04 | ↓ -47% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $870.45 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,430.72 | ↓ -7% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,450.76 | ↓ -6% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,916.05 | ↑ +24% |
| Highmark BCBS of PA | Managed Care | $1,942.98 | ↑ +26% |
| UPMC Health Plan | CHIP | $2,132.76 | ↑ +38% |
| Highmark BCBS of PA | UPMC Emergent | $2,914.49 | ↑ +89% |
| UPMC Health Plan | Commercial | $3,294.77 | ↑ +113% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Connect omega .5mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,882.20 | $426.53 – $3,094.90 |
| UPMC Presbyterian | Pittsburgh | $2,508.60 | $426.53 – $3,448.29 |
| UPMC Altoona | Altoona | $1,168.80 | $11.40 – $2,132.76 |
| UPMC Horizon-Greenville | Greenville | $1,881.00 | $1,076.79 – $2,132.76 |
| UPMC Williamsport | Williamsport | $728.40 | $12.00 – $54.00 |
| WellSpan Chambersburg Hospital | Chambersburg | $3,791.57 | $3,412.41 – $3,412.41 |