Gated heart multiple at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,971.00
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.
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What you pay up front if you don't use insurance.
$3,285.00
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.
$326.69 with United Healthcare Community Plan for Families vs $3,022.20 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $326.69 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $326.69 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $358.54 | ↓ -82% |
| Aetna | CHIP/Medicaid | $386.09 | ↓ -80% |
| UPMC Health Plan | Partners/Select | $392.98 | ↓ -80% |
| Aetna of PA | Medicare | $402.25 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $413.71 | ↓ -79% |
| United Healthcare | Medicare | $413.75 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $413.75 | ↓ -79% |
| Aetna | Medicare | $421.41 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $440.44 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $445.61 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $462.32 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $469.96 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $506.13 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $960.10 | ↓ -51% |
| UPMC Health Plan | Commercial | $1,104.80 | ↓ -44% |
| Aetna | Neighborhood Network | $1,182.60 | ↓ -40% |
| Aetna | EBR FI | $1,281.15 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,287.72 | ↓ -35% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,289.20 | ↓ -35% |
| Cigna | Commercial | $1,314.00 | ↓ -33% |
| Aetna | EBR ASO | $1,314.00 | ↓ -33% |
| Cigna | New Business ASO | $1,314.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,314.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $1,385.94 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,494.73 | ↓ -24% |
| InterGroup | PPO | $1,642.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $1,726.48 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,001.78 | ↑ +2% |
| Coventry/First Health | Commercial | $2,299.50 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $2,589.73 | ↑ +31% |
| Preferred Healthcare System | PPO | $2,628.00 | ↑ +33% |
| Private Health Care Systems | PPO | $2,792.25 | ↑ +42% |
| Humana | Commercial | $2,792.25 | ↑ +42% |
| Multiplan | PPO | $3,022.20 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Gated heart multiple at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,228.80 | $280.58 – $1,740.80 |
| UPMC Community Osteopathic | Harrisburg | $1,228.80 | $297.37 – $1,740.80 |
| UPMC Hanover | Hanover | $1,228.80 | $297.37 – $932.45 |
| UPMC Kane | Kane | $1,120.20 | $326.69 – $969.67 |
| UPMC Lititz | Lititz | $1,228.80 | $297.37 – $918.64 |
| UPMC Memorial | York | $1,228.80 | $297.37 – $1,690.52 |
| UPMC Muncy | Muncy | $2,298.00 | $290.56 – $1,027.08 |
| UPMC Somerset | Somerset | $1,228.80 | $261.05 – $877.81 |