Echo stress at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,689.20
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.
$4,482.00
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.
$84.15 with UPMC Health Plan vs $3,889.76 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 | $84.15 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $84.15 | ↓ -97% |
| Aetna | CHIP/Medicaid | $99.45 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $113.45 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $119.09 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $121.05 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $130.37 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $165.45 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $489.23 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $504.93 | ↓ -81% |
| UPMC Health Plan | CHIP | $515.20 | ↓ -81% |
| UPMC Health Plan | Partners/Select | $536.23 | ↓ -80% |
| Aetna of PA | Medicare | $548.88 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $554.98 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $564.51 | ↓ -79% |
| United Healthcare | Medicare | $564.56 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $564.56 | ↓ -79% |
| Aetna | Medicare | $575.01 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $676.21 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity | $743.24 | ↓ -72% |
| UPMC Health Plan | Commercial | $795.90 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $957.76 | ↓ -64% |
| Highmark BCBS of PA | UPMC Emergent | $1,014.32 | ↓ -62% |
| Aetna | Neighborhood Network | $1,522.08 | ↓ -43% |
| Aetna | EBR FI | $1,648.92 | ↓ -39% |
| Aetna | Home Depot Employer Group | $1,657.38 | ↓ -38% |
| Aetna | EBR ASO | $1,691.20 | ↓ -37% |
| Cigna | Commercial | $1,691.20 | ↓ -37% |
| Aetna | NBR ASO/FI | $1,691.20 | ↓ -37% |
| Cigna | New Business ASO | $1,691.20 | ↓ -37% |
| InterGroup | PPO | $2,114.00 | ↓ -21% |
| Coventry/First Health | Commercial | $2,959.60 | ↑ +10% |
| Preferred Healthcare System | PPO | $3,382.40 | ↑ +26% |
| Private Health Care Systems | PPO | $3,593.80 | ↑ +34% |
| Humana | Commercial | $3,593.80 | ↑ +34% |
| Multiplan | PPO | $3,889.76 | ↑ +45% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Echo stress at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,820.20 | $84.15 – $962.59 |
| UPMC Passavant-McCandless | Pittsburgh | $1,044.60 | $84.15 – $1,113.67 |
| UPMC Presbyterian | Pittsburgh | $5,167.80 | $55.80 – $1,119.29 |
| UPMC Altoona | Altoona | $1,335.00 | $46.50 – $1,780.00 |
| UPMC Bedford | Everett | $966.00 | $80.33 – $1,449.00 |
| UPMC Carlisle | Carlisle | $1,737.60 | $60.91 – $2,461.60 |
| UPMC Community Osteopathic | Harrisburg | $1,737.60 | $60.91 – $981.22 |
| UPMC Hamot | Erie | $696.00 | $84.15 – $957.76 |