Cover eye w/membrane at UPMC Magee

300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$9,340.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$15,568.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$864.20 with UPMC Health Plan vs $14,322.56 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 →

Payer
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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
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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 Medicare $864.20 ↓ -91%
UPMC Health Plan Partners/Select $947.21 ↓ -90%
Aetna of PA Medicare $969.56 ↓ -90%
Highmark Wholecare (prev Gateway) Medicare $997.17 ↓ -89%
AmeriHealth Caritas Medicare $997.26 ↓ -89%
United Healthcare Medicare $997.26 ↓ -89%
Aetna Medicare $1,015.73 ↓ -89%
UPMC Work Partners Workers Comp $1,838.17 ↓ -80%
Highmark BCBS of PA Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage $2,260.47 ↓ -76%
Aetna CHIP/Medicaid $2,802.24 ↓ -70%
UPMC Health Plan CHIP $5,448.80 ↓ -42%
Aetna Neighborhood Network $5,604.48 ↓ -40%
Aetna EBR FI $6,071.52 ↓ -35%
Aetna Home Depot Employer Group $6,102.66 ↓ -35%
Cigna Commercial $6,227.20 ↓ -33%
Cigna New Business ASO $6,227.20 ↓ -33%
Aetna EBR ASO $6,227.20 ↓ -33%
Aetna NBR ASO/FI $6,227.20 ↓ -33%
Highmark BCBS of PA Managed Care - Social Mission $6,539.76 ↓ -30%
UPMC Health Plan Commercial $6,772.08 ↓ -28%
Highmark BCBS of PA Commercial - Social Mission Indemnity $7,582.36 ↓ -19%
InterGroup PPO $7,784.00 ↓ -17%
Geisinger Medicaid/CHIP $8,562.40 ↓ -8%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $8,562.40 ↓ -8%
Highmark BCBS of PA Managed Care $8,757.95 ↓ -6%
Highmark BCBS of PA Commercial - Indemnity $10,154.46 ↑ +9%
Coventry/First Health Commercial $10,897.60 ↑ +17%
Preferred Healthcare System PPO $12,454.40 ↑ +33%
Highmark BCBS of PA UPMC Emergent $13,136.98 ↑ +41%
Humana Commercial $13,232.80 ↑ +42%
Private Health Care Systems PPO $13,232.80 ↑ +42%
Multiplan PPO $14,322.56 ↑ +53%
US Family Health Plan Tricare Prime not published by hospital

Visitor-reported prices

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Cover eye w/membrane at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Passavant-McCandless Pittsburgh $11,560.20 $858.11 – $2,260.47
UPMC Presbyterian Pittsburgh $17,159.40 $931.20 – $2,414.21
UPMC Muncy Muncy $14,438.40 $993.28 – $1,966.42
UPMC Wellsboro Wellsboro $17,461.60 $993.28 – $1,838.17
Uniontown Hospital Uniontown $1,146.00 $32.17 – $2,006.86

All Pennsylvania hospitals for this procedure →