Cover eye w/membrane at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$9,340.80
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.
?
What you pay up front if you don't use insurance.
$15,568.00
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.
?
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
?
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 →
?
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 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
Comments
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 |