CPAP or BiPAP Setup (first day) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$669.60
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.
$1,116.00
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.
$138.25 with UPMC Work Partners vs $1,035.25 with Highmark BCBS of PA — 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 Work Partners | Workers Comp | $138.25 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $168.87 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $181.48 | ↓ -73% |
| UPMC Health Plan | Partners/Select | $198.91 | ↓ -70% |
| Aetna | CHIP/Medicaid | $200.88 | ↓ -70% |
| Aetna of PA | Medicare | $203.61 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $209.40 | ↓ -69% |
| United Healthcare | Medicare | $209.42 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $209.42 | ↓ -69% |
| Aetna | Medicare | $213.30 | ↓ -68% |
| Aetna | Neighborhood Network | $401.76 | ↓ -40% |
| Aetna | EBR FI | $435.24 | ↓ -35% |
| Aetna | Home Depot Employer Group | $437.47 | ↓ -35% |
| Cigna | Commercial | $446.40 | ↓ -33% |
| Cigna | New Business ASO | $446.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $446.40 | ↓ -33% |
| Aetna | EBR ASO | $446.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $515.35 | ↓ -23% |
| UPMC Health Plan | CHIP | $527.58 | ↓ -21% |
| InterGroup | PPO | $558.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $566.43 | ↓ -15% |
| Geisinger | Medicaid/CHIP | $613.80 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $613.80 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $690.17 | ↑ +3% |
| Highmark BCBS of PA | Commercial - Indemnity | $758.58 | ↑ +13% |
| Coventry/First Health | Commercial | $781.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $815.02 | ↑ +22% |
| Preferred Healthcare System | PPO | $892.80 | ↑ +33% |
| Humana | Commercial | $948.60 | ↑ +42% |
| Private Health Care Systems | PPO | $948.60 | ↑ +42% |
| Multiplan | PPO | $1,026.72 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $1,035.25 | ↑ +55% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
CPAP or BiPAP Setup (first day) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $510.00 | $140.03 – $213.30 |
| UPMC Passavant-McCandless | Pittsburgh | $987.60 | $138.25 – $213.30 |
| UPMC Presbyterian | Pittsburgh | $664.80 | $41.11 – $853.00 |
| UPMC St. Margaret | Pittsburgh | $520.80 | $138.25 – $213.30 |
| UPMC Altoona | Altoona | $690.60 | $167.27 – $920.80 |
| UPMC Bedford | Everett | $519.60 | $69.96 – $779.40 |
| UPMC Carlisle | Carlisle | $627.00 | $44.88 – $888.25 |
| UPMC Cole | Coudersport | $393.60 | $39.06 – $524.80 |