Culture anaerobic additional method definitive id each at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$119.40
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.
$199.00
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.
$7.56 with UPMC Health Plan vs $172.96 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 | $7.56 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $7.99 | ↓ -93% |
| UPMC Health Plan | Partners/Select | $8.29 | ↓ -93% |
| Aetna of PA | Medicare | $8.48 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.73 | ↓ -93% |
| United Healthcare | Medicare | $8.73 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $8.73 | ↓ -93% |
| Aetna | Medicare | $8.89 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $9.62 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $9.62 | ↓ -92% |
| Aetna | CHIP/Medicaid | $11.38 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.98 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $13.62 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $13.85 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $14.91 | ↓ -88% |
| UPMC Health Plan | Commercial | $26.54 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $35.33 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $56.17 | ↓ -53% |
| Aetna | Neighborhood Network | $67.68 | ↓ -43% |
| Aetna | EBR FI | $73.32 | ↓ -39% |
| Aetna | Home Depot Employer Group | $73.70 | ↓ -38% |
| Cigna | New Business ASO | $75.20 | ↓ -37% |
| Cigna | Commercial | $75.20 | ↓ -37% |
| Aetna | NBR ASO/FI | $75.20 | ↓ -37% |
| Aetna | EBR ASO | $75.20 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $75.22 | ↓ -37% |
| UPMC Health Plan | CHIP | $91.17 | ↓ -24% |
| InterGroup | PPO | $94.00 | ↓ -21% |
| Highmark BCBS of PA | UPMC Emergent | $112.83 | ↓ -6% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $118.52 | ↓ -1% |
| Coventry/First Health | Commercial | $131.60 | ↑ +10% |
| Preferred Healthcare System | PPO | $150.40 | ↑ +26% |
| Highmark BCBS of PA | Commercial - Indemnity | $158.73 | ↑ +33% |
| Humana | Commercial | $159.80 | ↑ +34% |
| Private Health Care Systems | PPO | $159.80 | ↑ +34% |
| Multiplan | PPO | $172.96 | ↑ +45% |
Visitor-reported prices
Comments
Culture anaerobic additional method definitive id each at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $133.20 | $6.74 – $35.00 |
| UPMC Passavant-McCandless | Pittsburgh | $108.60 | $7.51 – $35.33 |
| UPMC Presbyterian | Pittsburgh | $466.80 | $7.99 – $35.33 |
| UPMC St. Margaret | Pittsburgh | $117.00 | $6.98 – $35.33 |
| UPMC Altoona | Altoona | $200.40 | $7.99 – $267.20 |
| UPMC Bedford | Everett | $100.20 | $2.92 – $150.30 |
| UPMC Carlisle | Carlisle | $45.60 | $8.00 – $64.60 |
| UPMC Community Osteopathic | Harrisburg | $45.60 | $8.00 – $91.17 |