Culture afb any source at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$97.20
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.
$162.00
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.
$8.25 with United Healthcare Community Plan for Families vs $149.04 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $8.25 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $8.25 | ↓ -92% |
| Aetna | CHIP/Medicaid | $9.75 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $10.11 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $10.67 | ↓ -89% |
| UPMC Health Plan | Partners/Select | $11.08 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.12 | ↓ -89% |
| Aetna of PA | Medicare | $11.34 | ↓ -88% |
| United Healthcare | Medicare | $11.66 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.66 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $11.66 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $11.68 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.87 | ↓ -88% |
| Aetna | Medicare | $11.88 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $12.78 | ↓ -87% |
| UPMC Health Plan | Commercial | $21.78 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $29.59 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $47.04 | ↓ -52% |
| Aetna | Neighborhood Network | $58.32 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $63.00 | ↓ -35% |
| Aetna | EBR FI | $63.18 | ↓ -35% |
| Aetna | Home Depot Employer Group | $63.50 | ↓ -35% |
| Aetna | EBR ASO | $64.80 | ↓ -33% |
| Cigna | Commercial | $64.80 | ↓ -33% |
| Cigna | New Business ASO | $64.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $64.80 | ↓ -33% |
| UPMC Health Plan | CHIP | $74.82 | ↓ -23% |
| InterGroup | PPO | $81.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $94.50 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $99.26 | ↑ +2% |
| Coventry/First Health | Commercial | $113.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $129.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $132.93 | ↑ +37% |
| Humana | Commercial | $137.70 | ↑ +42% |
| Private Health Care Systems | PPO | $137.70 | ↑ +42% |
| Multiplan | PPO | $149.04 | ↑ +53% |
Visitor-reported prices
Comments
Culture afb any source at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $141.00 | $8.25 – $29.31 |
| UPMC Passavant-McCandless | Pittsburgh | $68.40 | $8.25 – $29.59 |
| UPMC St. Margaret | Pittsburgh | $114.60 | $8.25 – $29.59 |
| UPMC Altoona | Altoona | $217.20 | $7.50 – $289.60 |
| UPMC Bedford | Everett | $83.40 | $3.90 – $125.10 |
| UPMC Carlisle | Carlisle | $61.20 | $7.50 – $86.70 |
| UPMC Cole | Coudersport | $105.00 | $7.02 – $140.00 |
| UPMC Community Osteopathic | Harrisburg | $61.20 | $7.50 – $86.70 |