healthcosts.net
Established Patient Office Visit (level 2) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$137.40
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.
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What you pay up front if you don't use insurance.
$229.00
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.
$28.60 with UPMC Health Plan vs $210.68 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $28.60 | ↓ -79% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $28.60 | ↓ -79% |
| Aetna | CHIP/Medicaid | $33.80 | ↓ -75% |
| Aetna of PA | Medicare | $36.08 | ↓ -74% |
| Aetna | Medicare | $37.74 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $38.56 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $40.47 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $40.64 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $41.14 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $44.31 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $61.91 | ↓ -55% |
| Cigna | Commercial | $63.91 | ↓ -53% |
| Cigna | New Business ASO | $63.91 | ↓ -53% |
| Aetna | Neighborhood Network | $82.44 | ↓ -40% |
| Aetna | EBR FI | $89.31 | ↓ -35% |
| Aetna | Home Depot Employer Group | $89.77 | ↓ -35% |
| Aetna | EBR ASO | $91.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $91.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $93.85 | ↓ -32% |
| Highmark BCBS of PA | Managed Care - Social Mission | $95.16 | ↓ -31% |
| Highmark Wholecare (prev Gateway) | Medicare | $114.50 | ↓ -17% |
| InterGroup | PPO | $114.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $125.69 | ↓ -9% |
| Highmark BCBS of PA | Managed Care | $127.45 | ↓ -7% |
| UPMC Health Plan | CHIP | $133.11 | ↓ -3% |
| Coventry/First Health | Commercial | $160.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $183.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $191.18 | ↑ +39% |
| Humana | Commercial | $194.65 | ↑ +42% |
| Private Health Care Systems | PPO | $194.65 | ↑ +42% |
| Multiplan | PPO | $210.68 | ↑ +53% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $125.40 | $28.60 – $177.65 |
| UPMC Mercy | Pittsburgh | $117.00 | $28.60 – $175.50 |
| UPMC Presbyterian | Pittsburgh | $111.60 | $28.60 – $158.10 |
| UPMC St. Margaret | Pittsburgh | $163.80 | $28.60 – $232.05 |
| UPMC Western Psychiatric | Pittsburgh | $283.20 | $39.83 – $148.75 |
| UPMC East | Monroeville | $138.60 | $28.60 – $184.80 |
| UPMC Altoona | Altoona | $207.00 | $20.00 – $276.00 |
| UPMC Bedford | Everett | $104.40 | $27.30 – $156.60 |