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Diagnostic Mammogram (both breasts) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$572.40
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.
$954.00
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.
$74.31 with Highmark BCBS of PA vs $877.68 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $74.31 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $142.84 | ↓ -75% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $142.84 | ↓ -75% |
| Aetna | Medicare | $153.08 | ↓ -73% |
| Aetna | CHIP/Medicaid | $168.81 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $192.57 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $202.14 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $205.47 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $214.98 | ↓ -62% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $221.29 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $249.26 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $287.90 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity | $333.81 | ↓ -42% |
| Aetna | Neighborhood Network | $343.44 | ↓ -40% |
| Aetna | EBR FI | $372.06 | ↓ -35% |
| Aetna | Home Depot Employer Group | $373.97 | ↓ -35% |
| Aetna | EBR ASO | $381.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $381.60 | ↓ -33% |
| Cigna | Commercial | $381.60 | ↓ -33% |
| Cigna | New Business ASO | $381.60 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $431.86 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $477.00 | ↓ -17% |
| InterGroup | PPO | $477.00 | ↓ -17% |
| UPMC Health Plan | Commercial | $538.09 | ↓ -6% |
| Coventry/First Health | Commercial | $667.80 | ↑ +17% |
| UPMC Health Plan | CHIP | $675.02 | ↑ +18% |
| Preferred Healthcare System | PPO | $763.20 | ↑ +33% |
| Humana | Commercial | $810.90 | ↑ +42% |
| Private Health Care Systems | PPO | $810.90 | ↑ +42% |
| Multiplan | PPO | $877.68 | ↑ +53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Diagnostic Mammogram (both breasts) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC St. Margaret | Pittsburgh | $511.80 | $74.31 – $725.05 |
| UPMC Hamot | Erie | $612.00 | $73.61 – $714.00 |
| UPMC Carlisle | Carlisle | $310.20 | $70.83 – $611.06 |
| UPMC Altoona | Altoona | $583.20 | $73.61 – $777.60 |
| UPMC Bedford | Everett | $609.00 | $136.34 – $913.50 |
| UPMC Cole | Coudersport | $458.40 | $136.34 – $611.20 |
| UPMC Community Osteopathic | Harrisburg | $310.20 | $103.40 – $675.02 |
| UPMC Hanover | Hanover | $310.20 | $98.23 – $611.06 |