Eeg over 1 hour 95813 - 26 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$936.00
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.
$1,560.00
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.
$105.63 with Highmark BCBS of PA vs $1,435.20 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $105.63 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $128.56 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $128.56 | ↓ -86% |
| Aetna | CHIP/Medicaid | $151.93 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $173.32 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $181.93 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $184.94 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $199.17 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $277.85 | ↓ -70% |
| UPMC Health Plan | Partners/Select | $304.54 | ↓ -67% |
| Aetna of PA | Medicare | $311.72 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $320.60 | ↓ -66% |
| United Healthcare | Medicare | $320.63 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $320.63 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $322.36 | ↓ -66% |
| Aetna | Medicare | $326.57 | ↓ -65% |
| UPMC Health Plan | CHIP | $331.18 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $335.91 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $354.31 | ↓ -62% |
| Highmark BCBS of PA | Managed Care | $431.71 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity | $474.50 | ↓ -49% |
| UPMC Health Plan | Commercial | $511.63 | ↓ -45% |
| Aetna | Neighborhood Network | $561.60 | ↓ -40% |
| Aetna | EBR FI | $608.40 | ↓ -35% |
| Aetna | Home Depot Employer Group | $611.52 | ↓ -35% |
| Aetna | NBR ASO/FI | $624.00 | ↓ -33% |
| Cigna | Commercial | $624.00 | ↓ -33% |
| Aetna | EBR ASO | $624.00 | ↓ -33% |
| Cigna | New Business ASO | $624.00 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $647.57 | ↓ -31% |
| InterGroup | PPO | $780.00 | ↓ -17% |
| Coventry/First Health | Commercial | $1,092.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,248.00 | ↑ +33% |
| Private Health Care Systems | PPO | $1,326.00 | ↑ +42% |
| Humana | Commercial | $1,326.00 | ↑ +42% |
| Multiplan | PPO | $1,435.20 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Eeg over 1 hour 95813 - 26 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,782.80 | $104.63 – $344.65 |
| UPMC Passavant-McCandless | Pittsburgh | $595.80 | $105.63 – $390.59 |
| UPMC Presbyterian | Pittsburgh | $2,144.40 | $53.34 – $400.76 |
| UPMC St. Margaret | Pittsburgh | $552.00 | $105.63 – $335.91 |
| UPMC Altoona | Altoona | $470.40 | $44.45 – $627.20 |
| UPMC Carlisle | Carlisle | $907.80 | $56.45 – $1,611.00 |
| UPMC Cole | Coudersport | $1,100.40 | $122.71 – $1,467.20 |
| UPMC Community Osteopathic | Harrisburg | $907.80 | $56.45 – $1,286.05 |