Fluoroguide for spine inject 77003-26 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$480.00
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.
$800.00
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.
$55.32 with UPMC Health Plan vs $736.00 with Multiplan — 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 | $55.32 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $55.32 | ↓ -88% |
| Aetna | CHIP/Medicaid | $65.38 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $74.58 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $76.60 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $78.29 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.58 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $85.70 | ↓ -82% |
| Aetna | Medicare | $101.68 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $107.16 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $221.61 | ↓ -54% |
| UPMC Health Plan | Commercial | $224.76 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $256.94 | ↓ -46% |
| UPMC Health Plan | CHIP | $281.96 | ↓ -41% |
| Aetna | Neighborhood Network | $288.00 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $296.77 | ↓ -38% |
| Aetna | EBR FI | $312.00 | ↓ -35% |
| Aetna | Home Depot Employer Group | $313.60 | ↓ -35% |
| Cigna | New Business ASO | $320.00 | ↓ -33% |
| Cigna | Commercial | $320.00 | ↓ -33% |
| Aetna | EBR ASO | $320.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $320.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $344.10 | ↓ -28% |
| Highmark Wholecare (prev Gateway) | Medicare | $400.00 | ↓ -17% |
| InterGroup | PPO | $400.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $445.16 | ↓ -7% |
| Coventry/First Health | Commercial | $560.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $640.00 | ↑ +33% |
| Private Health Care Systems | PPO | $680.00 | ↑ +42% |
| Humana | Commercial | $680.00 | ↑ +42% |
| Multiplan | PPO | $736.00 | ↑ +53% |
Visitor-reported prices
Comments
Fluoroguide for spine inject 77003-26 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $373.20 | $55.32 – $127.03 |
| UPMC Passavant-McCandless | Pittsburgh | $393.60 | $55.32 – $124.61 |
| UPMC Presbyterian | Pittsburgh | $634.20 | $33.83 – $147.71 |
| UPMC St. Margaret | Pittsburgh | $404.40 | $55.32 – $107.16 |
| UPMC Altoona | Altoona | $373.20 | $28.19 – $497.60 |
| UPMC Carlisle | Carlisle | $990.00 | $36.93 – $1,402.50 |
| UPMC Cole | Coudersport | $252.00 | $52.80 – $192.80 |
| UPMC Community Osteopathic | Harrisburg | $990.00 | $36.93 – $1,402.50 |