Core ndl bx lng/med perq at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,052.80
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.
$5,088.00
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.
$133.56 with UPMC Health Plan vs $4,680.96 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 | Managed Medicaid | $133.56 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $133.56 | ↓ -96% |
| Aetna | CHIP/Medicaid | $157.85 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $180.07 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $189.01 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $192.14 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $206.92 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $688.96 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $1,058.79 | ↓ -65% |
| UPMC Health Plan | Managed Medicare | $1,445.68 | ↓ -53% |
| UPMC Health Plan | Partners/Select | $1,584.55 | ↓ -48% |
| Aetna of PA | Medicare | $1,621.93 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,668.12 | ↓ -45% |
| United Healthcare | Medicare | $1,668.28 | ↓ -45% |
| AmeriHealth Caritas | Medicare | $1,668.28 | ↓ -45% |
| Aetna | Medicare | $1,699.17 | ↓ -44% |
| Aetna | Neighborhood Network | $1,831.68 | ↓ -40% |
| UPMC Health Plan | Commercial | $1,934.91 | ↓ -37% |
| Aetna | EBR FI | $1,984.32 | ↓ -35% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,993.22 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,994.50 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,035.20 | ↓ -33% |
| Cigna | New Business ASO | $2,035.20 | ↓ -33% |
| Aetna | EBR ASO | $2,035.20 | ↓ -33% |
| Cigna | Commercial | $2,035.20 | ↓ -33% |
| UPMC Health Plan | CHIP | $2,131.25 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,310.99 | ↓ -24% |
| InterGroup | PPO | $2,544.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $2,669.29 | ↓ -13% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,094.93 | ↑ +1% |
| Coventry/First Health | Commercial | $3,561.60 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $4,003.95 | ↑ +31% |
| Preferred Healthcare System | PPO | $4,070.40 | ↑ +33% |
| Private Health Care Systems | PPO | $4,324.80 | ↑ +42% |
| Humana | Commercial | $4,324.80 | ↑ +42% |
| Multiplan | PPO | $4,680.96 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Core ndl bx lng/med perq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,052.80 | $133.56 – $1,699.17 |
| UPMC Passavant-McCandless | Pittsburgh | $3,235.80 | $133.56 – $1,699.17 |
| UPMC Presbyterian | Pittsburgh | $4,069.80 | $133.56 – $1,699.17 |
| UPMC St. Margaret | Pittsburgh | $3,052.80 | $133.56 – $1,699.17 |
| UPMC Altoona | Altoona | $2,911.80 | $121.42 – $3,882.40 |
| UPMC Bedford | Everett | $3,052.80 | $127.49 – $4,579.20 |
| UPMC Carlisle | Carlisle | $3,199.80 | $154.20 – $4,533.05 |
| UPMC Community Osteopathic | Harrisburg | $3,199.80 | $163.92 – $4,533.05 |