Dialysis one evaluation at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,371.60
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.
$2,286.00
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.
$226.76 with UPMC Work Partners vs $2,528.92 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 | $226.76 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $370.10 | ↓ -73% |
| UPMC Health Plan | Managed Medicare | $379.95 | ↓ -72% |
| Aetna | CHIP/Medicaid | $411.48 | ↓ -70% |
| UPMC Health Plan | Partners/Select | $416.44 | ↓ -70% |
| Aetna of PA | Medicare | $426.27 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $438.41 | ↓ -68% |
| United Healthcare | Medicare | $438.45 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $438.45 | ↓ -68% |
| Aetna | Medicare | $446.57 | ↓ -67% |
| Aetna | Neighborhood Network | $822.96 | ↓ -40% |
| Aetna | EBR FI | $891.54 | ↓ -35% |
| Aetna | Home Depot Employer Group | $896.11 | ↓ -35% |
| Cigna | New Business ASO | $914.40 | ↓ -33% |
| Cigna | Commercial | $914.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $914.40 | ↓ -33% |
| Aetna | EBR ASO | $914.40 | ↓ -33% |
| UPMC Health Plan | CHIP | $1,128.12 | ↓ -18% |
| InterGroup | PPO | $1,143.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,241.44 | ↓ -9% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,257.30 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $1,257.30 | ↓ -8% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,258.84 | ↓ -8% |
| Coventry/First Health | Commercial | $1,600.20 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,662.57 | ↑ +21% |
| Highmark BCBS of PA | Managed Care | $1,685.94 | ↑ +23% |
| UPMC Health Plan | Commercial | $1,742.76 | ↑ +27% |
| Preferred Healthcare System | PPO | $1,828.80 | ↑ +33% |
| Humana | Commercial | $1,943.10 | ↑ +42% |
| Private Health Care Systems | PPO | $1,943.10 | ↑ +42% |
| Multiplan | PPO | $2,103.12 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $2,528.92 | ↑ +84% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Dialysis one evaluation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,560.60 | $226.76 – $446.57 |
| UPMC Presbyterian | Pittsburgh | $1,098.60 | $42.00 – $1,823.97 |
| UPMC St. Margaret | Pittsburgh | $1,013.40 | $226.76 – $446.57 |
| UPMC Altoona | Altoona | $750.00 | $212.24 – $1,000.00 |
| UPMC Carlisle | Carlisle | $970.80 | $45.85 – $1,375.30 |
| UPMC Community Osteopathic | Harrisburg | $970.80 | $45.85 – $1,375.30 |
| UPMC Hanover | Hanover | $970.80 | $45.85 – $1,128.12 |
| UPMC Horizon-Greenville | Greenville | $2,317.80 | $214.93 – $761.80 |