Echo guide for transfusion at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$790.20
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.
?
What you pay up front if you don't use insurance.
$1,317.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$113.91 with Aetna vs $1,211.64 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Medicare | $113.91 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $120.61 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $120.61 | ↓ -85% |
| Aetna | CHIP/Medicaid | $142.54 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $151.23 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $162.61 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $170.69 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $173.51 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $186.87 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $324.88 | ↓ -59% |
| UPMC Health Plan | Commercial | $369.31 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $437.52 | ↓ -45% |
| UPMC Health Plan | CHIP | $463.29 | ↓ -41% |
| Aetna | Neighborhood Network | $474.12 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $507.27 | ↓ -36% |
| Aetna | EBR FI | $513.63 | ↓ -35% |
| Aetna | Home Depot Employer Group | $516.26 | ↓ -35% |
| Cigna | New Business ASO | $526.80 | ↓ -33% |
| Aetna | EBR ASO | $526.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $526.80 | ↓ -33% |
| Cigna | Commercial | $526.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $585.91 | ↓ -26% |
| InterGroup | PPO | $658.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $658.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $679.34 | ↓ -14% |
| Highmark BCBS of PA | UPMC Emergent | $878.87 | ↑ +11% |
| Coventry/First Health | Commercial | $921.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,053.60 | ↑ +33% |
| Private Health Care Systems | PPO | $1,119.45 | ↑ +42% |
| Humana | Commercial | $1,119.45 | ↑ +42% |
| Multiplan | PPO | $1,211.64 | ↑ +53% |
Visitor-reported prices
Comments
Echo guide for transfusion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $434.40 | $61.88 – $615.40 |
| UPMC Community Osteopathic | Harrisburg | $434.40 | $61.88 – $658.61 |
| UPMC Lititz | Lititz | $434.40 | $61.88 – $312.91 |
| UPMC Memorial | York | $434.40 | $61.88 – $409.39 |
| UPMC Somerset | Somerset | $434.40 | $54.33 – $299.00 |