Echo exam of fetal heart at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$427.20
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.
$712.00
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.
$70.88 with UPMC Health Plan vs $795.67 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 Health Plan | Managed Medicaid | $70.88 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $70.88 | ↓ -83% |
| Aetna | CHIP/Medicaid | $83.77 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $94.88 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $95.56 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $100.31 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $101.97 | ↓ -76% |
| UPMC Health Plan | Partners/Select | $104.00 | ↓ -76% |
| Aetna of PA | Medicare | $106.45 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -74% |
| United Healthcare | Medicare | $109.49 | ↓ -74% |
| AmeriHealth Caritas | Medicare | $109.49 | ↓ -74% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $109.82 | ↓ -74% |
| Aetna | Medicare | $111.52 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $136.91 | ↓ -68% |
| Aetna | Neighborhood Network | $256.32 | ↓ -40% |
| Aetna | EBR FI | $277.68 | ↓ -35% |
| Aetna | Home Depot Employer Group | $279.10 | ↓ -35% |
| Cigna | New Business ASO | $284.80 | ↓ -33% |
| Aetna | EBR ASO | $284.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $284.80 | ↓ -33% |
| Cigna | Commercial | $284.80 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $309.09 | ↓ -28% |
| UPMC Health Plan | Commercial | $333.68 | ↓ -22% |
| InterGroup | PPO | $356.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $396.09 | ↓ -7% |
| UPMC Health Plan | CHIP | $418.60 | ↓ -2% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $459.24 | ↑ +8% |
| Coventry/First Health | Commercial | $498.40 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $530.44 | ↑ +24% |
| Preferred Healthcare System | PPO | $569.60 | ↑ +33% |
| Private Health Care Systems | PPO | $605.20 | ↑ +42% |
| Humana | Commercial | $605.20 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $615.02 | ↑ +44% |
| Multiplan | PPO | $655.04 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $795.67 | ↑ +86% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Echo exam of fetal heart at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $804.60 | $36.55 – $1,072.80 |
| UPMC Carlisle | Carlisle | $424.80 | $47.88 – $601.80 |
| UPMC Community Osteopathic | Harrisburg | $424.80 | $47.88 – $601.80 |
| UPMC Hamot | Erie | $793.80 | $70.88 – $309.09 |
| UPMC Hanover | Hanover | $424.80 | $47.88 – $311.26 |
| UPMC Horizon-Greenville | Greenville | $605.40 | $70.88 – $297.42 |
| UPMC Lititz | Lititz | $424.80 | $47.88 – $313.61 |
| UPMC Memorial | York | $424.80 | $47.88 – $311.26 |