Ghs insertion of needle - bone at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$791.40
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.
$1,319.00
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.
$54.45 with United Healthcare Community Plan for Families vs $1,213.48 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 | $54.45 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $54.45 | ↓ -93% |
| Aetna | CHIP/Medicaid | $64.35 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $73.41 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $77.06 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $78.33 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $84.36 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $123.57 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $228.33 | ↓ -71% |
| UPMC Health Plan | Commercial | $308.30 | ↓ -61% |
| UPMC Health Plan | Managed Medicare | $356.05 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $357.49 | ↓ -55% |
| UPMC Health Plan | Partners/Select | $390.26 | ↓ -51% |
| Aetna of PA | Medicare | $399.46 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $410.84 | ↓ -48% |
| AmeriHealth Caritas | Medicare | $410.88 | ↓ -48% |
| United Healthcare | Medicare | $410.88 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $414.49 | ↓ -48% |
| Aetna | Medicare | $418.48 | ↓ -47% |
| Aetna | Neighborhood Network | $474.84 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $478.75 | ↓ -40% |
| UPMC Health Plan | CHIP | $497.95 | ↓ -37% |
| Aetna | EBR FI | $514.41 | ↓ -35% |
| Aetna | Home Depot Employer Group | $517.05 | ↓ -35% |
| Aetna | EBR ASO | $527.60 | ↓ -33% |
| Cigna | New Business ASO | $527.60 | ↓ -33% |
| Cigna | Commercial | $527.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $527.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $555.09 | ↓ -30% |
| InterGroup | PPO | $659.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $718.13 | ↓ -9% |
| Coventry/First Health | Commercial | $923.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,055.20 | ↑ +33% |
| Humana | Commercial | $1,121.15 | ↑ +42% |
| Private Health Care Systems | PPO | $1,121.15 | ↑ +42% |
| Multiplan | PPO | $1,213.48 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs insertion of needle - bone at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $322.20 | $54.45 – $418.48 |
| UPMC Passavant-McCandless | Pittsburgh | $576.60 | $54.45 – $418.48 |
| UPMC Presbyterian | Pittsburgh | $891.00 | $54.45 – $418.48 |
| UPMC St. Margaret | Pittsburgh | $615.60 | $54.45 – $418.48 |
| UPMC Altoona | Altoona | $530.40 | $49.50 – $707.20 |
| UPMC Bedford | Everett | $721.20 | $51.98 – $1,081.80 |
| UPMC Carlisle | Carlisle | $550.80 | $62.87 – $780.30 |
| UPMC Cole | Coudersport | $289.20 | $45.18 – $213.06 |