Echocardiograpy doppler follow up/limited study at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$156.60
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.
$261.00
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.
$25.85 with Aetna vs $317.97 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 |
|---|---|---|---|
| Aetna | Medicare | $25.85 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $31.13 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $31.13 | ↓ -80% |
| Aetna | CHIP/Medicaid | $36.79 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $41.97 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $44.05 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $44.78 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $48.23 | ↓ -69% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $51.87 | ↓ -67% |
| Aetna | Neighborhood Network | $93.96 | ↓ -40% |
| Aetna | EBR FI | $101.79 | ↓ -35% |
| Aetna | Home Depot Employer Group | $102.31 | ↓ -35% |
| Cigna | New Business ASO | $104.40 | ↓ -33% |
| Aetna | EBR ASO | $104.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $104.40 | ↓ -33% |
| Cigna | Commercial | $104.40 | ↓ -33% |
| InterGroup | PPO | $130.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $130.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $158.29 | ↑ +1% |
| UPMC Health Plan | CHIP | $167.94 | ↑ +7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $173.98 | ↑ +11% |
| Coventry/First Health | Commercial | $182.70 | ↑ +17% |
| UPMC Work Partners | Workers Comp | $184.95 | ↑ +18% |
| Preferred Healthcare System | PPO | $208.80 | ↑ +33% |
| Highmark BCBS of PA | Managed Care | $211.98 | ↑ +35% |
| Private Health Care Systems | PPO | $221.85 | ↑ +42% |
| Humana | Commercial | $221.85 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $232.99 | ↑ +49% |
| Multiplan | PPO | $240.12 | ↑ +53% |
| UPMC Health Plan | Commercial | $259.45 | ↑ +66% |
| Highmark BCBS of PA | UPMC Emergent | $317.97 | ↑ +103% |
Visitor-reported prices
Comments
Echocardiograpy doppler follow up/limited study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $336.00 | $31.13 – $190.71 |
| UPMC Passavant-McCandless | Pittsburgh | $284.40 | $31.13 – $215.06 |
| UPMC Presbyterian | Pittsburgh | $590.40 | $24.66 – $221.76 |
| UPMC St. Margaret | Pittsburgh | $333.00 | $31.13 – $184.95 |
| UPMC Altoona | Altoona | $307.80 | $20.55 – $410.40 |
| UPMC Cole | Coudersport | $67.20 | $29.71 – $129.33 |
| UPMC Community Osteopathic | Harrisburg | $303.60 | $9.00 – $321.23 |
| UPMC Hamot | Erie | $486.00 | $31.13 – $184.95 |