Dup scan/ue art/graft/bilat/comp 93930 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$459.60
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.
$766.00
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.
$147.62 with Highmark BCBS of PA vs $905.03 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $147.62 | ↓ -68% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $155.72 | ↓ -66% |
| UPMC Health Plan | Managed Medicaid | $155.72 | ↓ -66% |
| Aetna | CHIP/Medicaid | $184.03 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicaid | $209.93 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $215.68 | ↓ -53% |
| Geisinger | Medicaid/CHIP | $220.37 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $224.00 | ↓ -51% |
| UPMC Health Plan | Partners/Select | $236.40 | ↓ -49% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $241.25 | ↓ -48% |
| Aetna of PA | Medicare | $241.97 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.86 | ↓ -46% |
| United Healthcare | Medicare | $248.89 | ↓ -46% |
| AmeriHealth Caritas | Medicare | $248.89 | ↓ -46% |
| Aetna | Medicare | $253.50 | ↓ -45% |
| Aetna | Neighborhood Network | $275.76 | ↓ -40% |
| Aetna | EBR FI | $298.74 | ↓ -35% |
| Aetna | Home Depot Employer Group | $300.27 | ↓ -35% |
| Aetna | NBR ASO/FI | $306.40 | ↓ -33% |
| Cigna | New Business ASO | $306.40 | ↓ -33% |
| Cigna | Commercial | $306.40 | ↓ -33% |
| Aetna | EBR ASO | $306.40 | ↓ -33% |
| InterGroup | PPO | $383.00 | ↓ -17% |
| UPMC Work Partners | Workers Comp | $425.48 | ↓ -7% |
| UPMC Health Plan | CHIP | $442.51 | ↓ -4% |
| Highmark BCBS of PA | Managed Care - Social Mission | $450.53 | ↓ -2% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $495.18 | ↑ +8% |
| Coventry/First Health | Commercial | $536.20 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $603.35 | ↑ +31% |
| Preferred Healthcare System | PPO | $612.80 | ↑ +33% |
| Humana | Commercial | $651.10 | ↑ +42% |
| Private Health Care Systems | PPO | $651.10 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $663.16 | ↑ +44% |
| UPMC Health Plan | Commercial | $683.61 | ↑ +49% |
| Multiplan | PPO | $704.72 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $905.03 | ↑ +97% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,347.00 | $146.23 – $434.15 |
| UPMC Passavant-McCandless | Pittsburgh | $1,938.00 | $147.62 – $494.74 |
| UPMC Presbyterian | Pittsburgh | $1,404.00 | $143.21 – $504.83 |
| UPMC St. Margaret | Pittsburgh | $490.80 | $147.62 – $425.48 |
| UPMC Altoona | Altoona | $887.40 | $119.34 – $1,183.20 |
| UPMC Bedford | Everett | $1,008.00 | $83.15 – $1,512.00 |
| UPMC Carlisle | Carlisle | $819.60 | $156.34 – $1,161.10 |
| UPMC Cole | Coudersport | $509.40 | $148.64 – $679.20 |