Dup scan/lwr xtr vasc stdy bilat 93924 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$681.00
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.
$1,135.00
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.
$111.07 with UPMC Health Plan vs $1,044.20 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 Medicaid | $111.07 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $111.07 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $111.90 | ↓ -84% |
| Aetna | CHIP/Medicaid | $131.26 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $139.61 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $149.74 | ↓ -78% |
| UPMC Health Plan | Partners/Select | $153.02 | ↓ -78% |
| Aetna of PA | Medicare | $156.63 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $157.18 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $159.77 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.09 | ↓ -76% |
| United Healthcare | Medicare | $161.10 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $161.10 | ↓ -76% |
| Aetna | Medicare | $164.09 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $172.07 | ↓ -75% |
| UPMC Health Plan | CHIP | $334.82 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $341.49 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $375.34 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $390.15 | ↓ -43% |
| Aetna | Neighborhood Network | $408.60 | ↓ -40% |
| Aetna | EBR FI | $442.65 | ↓ -35% |
| Aetna | Home Depot Employer Group | $444.92 | ↓ -35% |
| Cigna | New Business ASO | $454.00 | ↓ -33% |
| Aetna | EBR ASO | $454.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $454.00 | ↓ -33% |
| Cigna | Commercial | $454.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $457.33 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $502.66 | ↓ -26% |
| UPMC Health Plan | Commercial | $517.25 | ↓ -24% |
| InterGroup | PPO | $567.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $685.99 | ↑ +1% |
| Coventry/First Health | Commercial | $794.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $908.00 | ↑ +33% |
| Private Health Care Systems | PPO | $964.75 | ↑ +42% |
| Humana | Commercial | $964.75 | ↑ +42% |
| Multiplan | PPO | $1,044.20 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/lwr xtr vasc stdy bilat 93924 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,367.40 | $110.84 – $369.17 |
| UPMC Presbyterian | Pittsburgh | $1,284.60 | $91.91 – $429.27 |
| UPMC Altoona | Altoona | $703.80 | $76.59 – $938.40 |
| UPMC Carlisle | Carlisle | $797.40 | $100.33 – $1,129.65 |
| UPMC Community Osteopathic | Harrisburg | $797.40 | $37.20 – $409.55 |
| UPMC Hamot | Erie | $241.20 | $110.84 – $390.15 |
| UPMC Hanover | Hanover | $797.40 | $100.33 – $409.55 |
| UPMC Horizon-Greenville | Greenville | $643.80 | $111.07 – $391.35 |