Ghs ot sensory integrative tech/15min at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$159.60
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.
$266.00
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.
$40.86 with Aetna vs $238.08 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 | $40.86 | ↓ -74% |
| UPMC Health Plan | CHIP | $41.61 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $47.49 | ↓ -70% |
| Aetna | Medicare | $48.54 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $55.44 | ↓ -65% |
| UPMC Health Plan | Commercial | $64.28 | ↓ -60% |
| Aetna | Neighborhood Network | $81.72 | ↓ -49% |
| Aetna | EBR FI | $88.53 | ↓ -45% |
| Aetna | Home Depot Employer Group | $88.98 | ↓ -44% |
| Cigna | Commercial | $90.80 | ↓ -43% |
| Aetna | NBR ASO/FI | $90.80 | ↓ -43% |
| Aetna | EBR ASO | $90.80 | ↓ -43% |
| Cigna | New Business ASO | $90.80 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicare | $113.50 | ↓ -29% |
| InterGroup | PPO | $113.50 | ↓ -29% |
| Highmark BCBS of PA | Managed Care - Social Mission | $118.51 | ↓ -26% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $124.85 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $124.85 | ↓ -22% |
| Highmark BCBS of PA | Managed Care | $158.72 | ↓ -1% |
| Coventry/First Health | Commercial | $158.90 | ↓ -0% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $159.31 | ↓ -0% |
| Preferred Healthcare System | PPO | $181.60 | ↑ +14% |
| Private Health Care Systems | PPO | $192.95 | ↑ +21% |
| Humana | Commercial | $192.95 | ↑ +21% |
| Multiplan | PPO | $208.84 | ↑ +31% |
| Highmark BCBS of PA | Commercial - Indemnity | $213.35 | ↑ +34% |
| Highmark BCBS of PA | UPMC Emergent | $238.08 | ↑ +49% |
Visitor-reported prices
Comments
Ghs ot sensory integrative tech/15min at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $124.20 | $32.86 – $60.66 |
| UPMC Passavant-McCandless | Pittsburgh | $104.40 | $47.49 – $64.46 |
| UPMC Presbyterian | Pittsburgh | $159.60 | $47.49 – $70.53 |
| UPMC St. Margaret | Pittsburgh | $288.60 | $47.49 – $55.44 |
| UPMC Altoona | Altoona | $81.00 | $41.61 – $108.00 |
| UPMC Carlisle | Carlisle | $96.00 | $21.92 – $387.00 |
| UPMC Community Osteopathic | Harrisburg | $96.00 | $32.00 – $154.62 |
| UPMC East | Monroeville | $163.80 | $41.61 – $218.40 |