Consultation pathology during surgery at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$118.20
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.
$197.00
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.
$2.89 with UPMC Health Plan vs $181.24 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 | Commercial | $2.89 | ↓ -98% |
| UPMC Health Plan | CHIP | $9.91 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $32.75 | ↓ -72% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $32.75 | ↓ -72% |
| Aetna | CHIP/Medicaid | $38.70 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $44.15 | ↓ -63% |
| Geisinger | Medicaid/CHIP | $46.34 | ↓ -61% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.11 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $50.73 | ↓ -57% |
| UPMC Health Plan | Managed Medicare | $53.00 | ↓ -55% |
| UPMC Health Plan | Partners/Select | $58.09 | ↓ -51% |
| Aetna of PA | Medicare | $59.46 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.15 | ↓ -48% |
| United Healthcare | Medicare | $61.16 | ↓ -48% |
| AmeriHealth Caritas | Medicare | $61.16 | ↓ -48% |
| Aetna | Medicare | $62.29 | ↓ -47% |
| Aetna | Neighborhood Network | $70.92 | ↓ -40% |
| Aetna | EBR FI | $76.83 | ↓ -35% |
| Aetna | Home Depot Employer Group | $77.22 | ↓ -35% |
| Cigna | New Business ASO | $78.80 | ↓ -33% |
| Aetna | EBR ASO | $78.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $78.80 | ↓ -33% |
| Cigna | Commercial | $78.80 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $95.98 | ↓ -19% |
| InterGroup | PPO | $98.50 | ↓ -17% |
| Coventry/First Health | Commercial | $137.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $157.60 | ↑ +33% |
| Humana | Commercial | $167.45 | ↑ +42% |
| Private Health Care Systems | PPO | $167.45 | ↑ +42% |
| Multiplan | PPO | $181.24 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $94.80 | $2.73 – $97.02 |
| UPMC Passavant-McCandless | Pittsburgh | $144.60 | $2.75 – $111.60 |
| UPMC Presbyterian | Pittsburgh | $231.60 | $2.90 – $112.81 |
| UPMC St. Margaret | Pittsburgh | $163.80 | $2.76 – $95.98 |
| UPMC Carlisle | Carlisle | $78.60 | $9.91 – $111.35 |
| UPMC Community Osteopathic | Harrisburg | $78.60 | $9.91 – $111.35 |
| UPMC East | Monroeville | $159.60 | $2.73 – $212.80 |
| UPMC Hamot | Erie | $133.80 | $4.95 – $95.98 |