Foam drg <=16 sq in w/border at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,270.40
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.
$3,784.00
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.
$2.70 with Aetna vs $118.61 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $2.70 | ↓ -100% |
| Aetna | Neighborhood Network | $5.40 | ↓ -100% |
| Aetna | EBR FI | $5.85 | ↓ -100% |
| Aetna | Home Depot Employer Group | $5.88 | ↓ -100% |
| Aetna | EBR ASO | $6.00 | ↓ -100% |
| Cigna | Commercial | $6.00 | ↓ -100% |
| Aetna | NBR ASO/FI | $6.00 | ↓ -100% |
| Cigna | New Business ASO | $6.00 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.50 | ↓ -100% |
| InterGroup | PPO | $7.50 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8.25 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $8.25 | ↓ -100% |
| Aetna | Medicare | $9.15 | ↓ -100% |
| Coventry/First Health | Commercial | $10.50 | ↓ -100% |
| Preferred Healthcare System | PPO | $12.00 | ↓ -99% |
| Private Health Care Systems | PPO | $12.75 | ↓ -99% |
| Humana | Commercial | $12.75 | ↓ -99% |
| Multiplan | PPO | $13.80 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $17.36 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $22.36 | ↓ -99% |
| UPMC Health Plan | CHIP | $54.26 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $58.22 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $59.04 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity | $77.97 | ↓ -97% |
| Highmark BCBS of PA | Managed Care | $79.07 | ↓ -97% |
| UPMC Health Plan | Commercial | $83.83 | ↓ -96% |
| Highmark BCBS of PA | UPMC Emergent | $118.61 | ↓ -95% |
Visitor-reported prices
Comments
Foam drg <=16 sq in w/border at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $81.00 | $10.49 – $87.74 |
| UPMC St. Margaret | Pittsburgh | $9.00 | $17.36 – $66.59 |
| UPMC Altoona | Altoona | $7.20 | $6.00 – $54.26 |
| UPMC Hamot | Erie | $61.80 | $17.19 – $22.36 |
| UPMC Jameson | New Castle | $12.60 | $8.32 – $54.26 |
| UPMC Muncy | Muncy | $15.60 | $11.19 – $23.92 |
| UPMC Wellsboro | Wellsboro | $19.00 | $11.19 – $22.36 |
| UPMC Williamsport | Williamsport | $50.40 | $11.19 – $24.70 |