Emg thor paraspinal without t1/t2 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$122.40
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.
$204.00
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.
$23.97 with United Healthcare Community Plan for Families vs $326.57 with Aetna — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $23.97 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $23.97 | ↓ -80% |
| Aetna | CHIP/Medicaid | $28.33 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $32.31 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $33.92 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $34.48 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $37.13 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $41.98 | ↓ -66% |
| Aetna | Neighborhood Network | $73.44 | ↓ -40% |
| Aetna | EBR FI | $79.56 | ↓ -35% |
| Aetna | Home Depot Employer Group | $79.97 | ↓ -35% |
| Cigna | New Business ASO | $81.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $81.60 | ↓ -33% |
| Cigna | Commercial | $81.60 | ↓ -33% |
| Aetna | EBR ASO | $81.60 | ↓ -33% |
| InterGroup | PPO | $102.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $117.66 | ↓ -4% |
| Highmark BCBS of PA | Managed Care - Social Mission | $128.11 | ↑ +5% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $140.81 | ↑ +15% |
| Coventry/First Health | Commercial | $142.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $163.20 | ↑ +33% |
| UPMC Work Partners | Workers Comp | $164.96 | ↑ +35% |
| Highmark BCBS of PA | Managed Care | $171.56 | ↑ +40% |
| Private Health Care Systems | PPO | $173.40 | ↑ +42% |
| Humana | Commercial | $173.40 | ↑ +42% |
| UPMC Health Plan | Commercial | $181.76 | ↑ +48% |
| Multiplan | PPO | $187.68 | ↑ +53% |
| Highmark BCBS of PA | Commercial - Indemnity | $188.57 | ↑ +54% |
| Highmark BCBS of PA | UPMC Emergent | $257.35 | ↑ +110% |
| UPMC Health Plan | Managed Medicare | $277.85 | ↑ +127% |
| UPMC Health Plan | Partners/Select | $304.54 | ↑ +149% |
| Aetna of PA | Medicare | $311.72 | ↑ +155% |
| Highmark Wholecare (prev Gateway) | Medicare | $320.60 | ↑ +162% |
| AmeriHealth Caritas | Medicare | $320.63 | ↑ +162% |
| United Healthcare | Medicare | $320.63 | ↑ +162% |
| Aetna | Medicare | $326.57 | ↑ +167% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Emg thor paraspinal without t1/t2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $152.40 | $23.97 – $326.57 |
| UPMC Presbyterian | Pittsburgh | $186.00 | $9.35 – $326.57 |
| UPMC Carlisle | Carlisle | $543.60 | $10.20 – $770.10 |
| UPMC Cole | Coudersport | $54.00 | $10.53 – $168.30 |
| UPMC Community Osteopathic | Harrisburg | $543.60 | $10.20 – $770.10 |
| UPMC Northwest | Seneca | $152.40 | $23.97 – $311.72 |
| UPMC Hanover | Hanover | $543.60 | $10.20 – $475.97 |
| UPMC Lititz | Lititz | $543.60 | $10.20 – $478.54 |