Ghs musc tst done w/nerv tst lim at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$260.40
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.
$434.00
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.
$44.85 with Highmark BCBS of PA vs $399.28 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $44.85 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $45.88 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $45.88 | ↓ -82% |
| Aetna | CHIP/Medicaid | $54.22 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $61.86 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $64.93 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $66.00 | ↓ -75% |
| Aetna | Medicare | $67.34 | ↓ -74% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $71.08 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $76.87 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $136.87 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $150.44 | ↓ -42% |
| UPMC Health Plan | CHIP | $152.49 | ↓ -41% |
| Aetna | Neighborhood Network | $156.24 | ↓ -40% |
| Aetna | EBR FI | $169.26 | ↓ -35% |
| Aetna | Home Depot Employer Group | $170.13 | ↓ -35% |
| Cigna | New Business ASO | $173.60 | ↓ -33% |
| Aetna | EBR ASO | $173.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $173.60 | ↓ -33% |
| Cigna | Commercial | $173.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $183.30 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $201.47 | ↓ -23% |
| InterGroup | PPO | $217.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $217.00 | ↓ -17% |
| UPMC Health Plan | Commercial | $235.57 | ↓ -10% |
| Highmark BCBS of PA | UPMC Emergent | $274.95 | ↑ +6% |
| Coventry/First Health | Commercial | $303.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $347.20 | ↑ +33% |
| Humana | Commercial | $368.90 | ↑ +42% |
| Private Health Care Systems | PPO | $368.90 | ↑ +42% |
| Multiplan | PPO | $399.28 | ↑ +53% |
Visitor-reported prices
Comments
Ghs musc tst done w/nerv tst lim at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $316.80 | $44.43 – $86.93 |
| UPMC Passavant-McCandless | Pittsburgh | $268.80 | $44.85 – $89.38 |
| UPMC Presbyterian | Pittsburgh | $357.60 | $33.47 – $101.08 |
| UPMC St. Margaret | Pittsburgh | $322.80 | $44.85 – $76.87 |
| UPMC Altoona | Altoona | $278.40 | $27.89 – $371.20 |
| UPMC Cole | Coudersport | $86.40 | $18.85 – $76.87 |
| UPMC Northwest | Seneca | $260.40 | $45.88 – $115.30 |
| UPMC Horizon-Greenville | Greenville | $249.60 | $43.80 – $107.75 |