healthcosts.net
ER Visit (level 2) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$354.00
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.
?
What you pay up front if you don't use insurance.
$590.00
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.
$36.28 with UPMC Health Plan vs $572.90 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $36.28 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $36.28 | ↓ -90% |
| Aetna | CHIP/Medicaid | $42.87 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $51.34 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $52.19 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $56.20 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $79.81 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $83.84 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $141.30 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicaid | $144.80 | ↓ -59% |
| UPMC Health Plan | Partners/Select | $154.88 | ↓ -56% |
| Aetna of PA | Medicare | $158.53 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicare | $163.04 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $163.06 | ↓ -54% |
| United Healthcare | Medicare | $163.06 | ↓ -54% |
| Aetna | Medicare | $166.08 | ↓ -53% |
| Aetna | Neighborhood Network | $212.40 | ↓ -40% |
| UPMC Health Plan | Commercial | $227.50 | ↓ -36% |
| Aetna | EBR FI | $230.10 | ↓ -35% |
| Aetna | Home Depot Employer Group | $231.28 | ↓ -35% |
| Aetna | NBR ASO/FI | $236.00 | ↓ -33% |
| Cigna | New Business ASO | $236.00 | ↓ -33% |
| Cigna | Commercial | $236.00 | ↓ -33% |
| Aetna | EBR ASO | $236.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $264.38 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $281.23 | ↓ -21% |
| Highmark BCBS of PA | Managed Care - Social Mission | $285.17 | ↓ -19% |
| InterGroup | PPO | $295.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $376.63 | ↑ +6% |
| Highmark BCBS of PA | Managed Care | $381.93 | ↑ +8% |
| Coventry/First Health | Commercial | $413.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $472.00 | ↑ +33% |
| Private Health Care Systems | PPO | $501.50 | ↑ +42% |
| Humana | Commercial | $501.50 | ↑ +42% |
| Multiplan | PPO | $542.80 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $572.90 | ↑ +62% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 2) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $424.20 | $36.28 – $600.95 |
| UPMC Mercy | Pittsburgh | $564.00 | $36.28 – $846.00 |
| UPMC Presbyterian | Pittsburgh | $620.40 | $36.28 – $878.90 |
| UPMC St. Margaret | Pittsburgh | $336.60 | $36.28 – $476.85 |
| UPMC East | Monroeville | $652.80 | $36.28 – $870.40 |
| UPMC Hamot | Erie | $640.20 | $36.28 – $746.90 |
| UPMC Carlisle | Carlisle | $570.60 | $34.91 – $808.35 |
| UPMC Altoona | Altoona | $496.20 | $35.00 – $661.60 |