Edu/train/pt/nonmd/in person/30 min98960 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$549.60
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.
$916.00
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.
$29.39 with Aetna vs $842.72 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 |
|---|---|---|---|
| Aetna | Medicare | $29.39 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $93.83 | ↓ -83% |
| UPMC Health Plan | CHIP | $114.02 | ↓ -79% |
| Aetna | CHIP/Medicaid | $164.88 | ↓ -70% |
| UPMC Health Plan | Commercial | $176.14 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $286.34 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $314.72 | ↓ -43% |
| Aetna | Neighborhood Network | $329.76 | ↓ -40% |
| Aetna | EBR FI | $357.24 | ↓ -35% |
| Aetna | Home Depot Employer Group | $359.07 | ↓ -35% |
| Cigna | New Business ASO | $366.40 | ↓ -33% |
| Aetna | EBR ASO | $366.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $366.40 | ↓ -33% |
| Cigna | Commercial | $366.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $383.47 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $421.48 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $458.00 | ↓ -17% |
| InterGroup | PPO | $458.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $503.80 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $503.80 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $575.21 | ↑ +5% |
| Coventry/First Health | Commercial | $641.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $732.80 | ↑ +33% |
| Humana | Commercial | $778.60 | ↑ +42% |
| Private Health Care Systems | PPO | $778.60 | ↑ +42% |
| Multiplan | PPO | $842.72 | ↑ +53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Edu/train/pt/nonmd/in person/30 min98960 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $508.20 | $90.03 – $92.94 |
| UPMC Passavant-McCandless | Pittsburgh | $640.80 | $93.83 – $165.45 |
| UPMC Presbyterian | Pittsburgh | $764.40 | $21.58 – $184.34 |
| UPMC St. Margaret | Pittsburgh | $610.20 | $93.83 – $139.91 |
| UPMC Horizon-Greenville | Greenville | $510.00 | $114.02 – $225.41 |
| UPMC Jameson | New Castle | $510.00 | $20.68 – $94.58 |
| UPMC Williamsport | Williamsport | $670.20 | $23.01 – $23.01 |
| Uniontown Hospital | Uniontown | $71.00 | $21.11 – $23.12 |