Controller infinity pt dbs at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$5,581.20
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.
$9,302.00
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.
$57.24 with Aetna vs $7,565.47 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 | $57.24 | ↓ -99% |
| Aetna | Medicare | $65.34 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $73.14 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $104.94 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $104.94 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $107.58 | ↓ -98% |
| Aetna | Neighborhood Network | $114.48 | ↓ -98% |
| Aetna | EBR FI | $124.02 | ↓ -98% |
| Aetna | Home Depot Employer Group | $124.66 | ↓ -98% |
| Cigna | New Business ASO | $127.20 | ↓ -98% |
| Aetna | EBR ASO | $127.20 | ↓ -98% |
| Aetna | NBR ASO/FI | $127.20 | ↓ -98% |
| Cigna | Commercial | $127.20 | ↓ -98% |
| InterGroup | PPO | $159.00 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $159.00 | ↓ -97% |
| Coventry/First Health | Commercial | $222.60 | ↓ -96% |
| Preferred Healthcare System | PPO | $254.40 | ↓ -95% |
| Humana | Commercial | $270.30 | ↓ -95% |
| Private Health Care Systems | PPO | $270.30 | ↓ -95% |
| Multiplan | PPO | $292.56 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $889.33 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,983.10 | ↓ -47% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,024.91 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,995.04 | ↓ -28% |
| Highmark BCBS of PA | Managed Care | $4,051.20 | ↓ -27% |
| UPMC Health Plan | CHIP | $4,897.26 | ↓ -12% |
| Highmark BCBS of PA | UPMC Emergent | $6,076.83 | ↑ +9% |
| UPMC Health Plan | Commercial | $7,565.47 | ↑ +36% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Controller infinity pt dbs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $4,257.00 | $880.94 – $3,867.08 |
| UPMC Passavant-McCandless | Pittsburgh | $5,451.00 | $889.33 – $7,106.53 |
| UPMC St. Margaret | Pittsburgh | $3,235.80 | $889.33 – $6,009.28 |
| UPMC Altoona | Altoona | $4,347.00 | $240.54 – $4,897.26 |
| UPMC Bedford | Everett | $4,558.20 | $543.78 – $4,897.26 |
| UPMC Cole | Coudersport | $22,140.00 | $496.47 – $7,011.00 |
| UPMC East | Monroeville | $3,442.80 | $257.07 – $4,897.26 |
| UPMC Hamot | Erie | $4,699.80 | $880.94 – $880.94 |