CT limited or localized follow-up study at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,122.60
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.
$1,871.00
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.
$78.57 with UPMC Health Plan vs $1,721.32 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 Medicare | $78.57 | ↓ -93% |
| UPMC Health Plan | Partners/Select | $86.12 | ↓ -92% |
| Aetna of PA | Medicare | $88.15 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $90.66 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $90.67 | ↓ -92% |
| United Healthcare | Medicare | $90.67 | ↓ -92% |
| Aetna | Medicare | $92.34 | ↓ -92% |
| UPMC Health Plan | Commercial | $190.93 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $212.18 | ↓ -81% |
| Aetna | CHIP/Medicaid | $336.78 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $456.29 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $613.85 | ↓ -45% |
| UPMC Health Plan | CHIP | $655.93 | ↓ -42% |
| Aetna | Neighborhood Network | $673.56 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $711.71 | ↓ -37% |
| Aetna | EBR FI | $729.69 | ↓ -35% |
| Aetna | Home Depot Employer Group | $733.43 | ↓ -35% |
| Cigna | New Business ASO | $748.40 | ↓ -33% |
| Aetna | EBR ASO | $748.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $748.40 | ↓ -33% |
| Cigna | Commercial | $748.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $822.05 | ↓ -27% |
| InterGroup | PPO | $935.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $953.13 | ↓ -15% |
| Geisinger | Medicaid/CHIP | $1,029.05 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,029.05 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $1,233.08 | ↑ +10% |
| Coventry/First Health | Commercial | $1,309.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,496.80 | ↑ +33% |
| Humana | Commercial | $1,590.35 | ↑ +42% |
| Private Health Care Systems | PPO | $1,590.35 | ↑ +42% |
| Multiplan | PPO | $1,721.32 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
CT limited or localized follow-up study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,217.00 | $69.98 – $463.87 |
| UPMC Passavant-McCandless | Pittsburgh | $1,101.60 | $78.01 – $530.57 |
| UPMC Presbyterian | Pittsburgh | $1,632.60 | $63.60 – $539.38 |
| UPMC St. Margaret | Pittsburgh | $966.60 | $72.48 – $456.29 |
| UPMC Altoona | Altoona | $816.00 | $85.61 – $1,088.00 |
| UPMC Carlisle | Carlisle | $624.60 | $46.33 – $884.85 |
| UPMC Community Osteopathic | Harrisburg | $624.60 | $69.43 – $884.85 |
| UPMC East | Monroeville | $1,035.60 | $84.18 – $1,380.80 |