Ghs sleep study unattended at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,554.00
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.
$2,590.00
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.
$137.07 with United Healthcare Community Plan for Families vs $2,382.80 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 | $137.07 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $137.07 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $139.61 | ↓ -91% |
| UPMC Health Plan | Partners/Select | $153.02 | ↓ -90% |
| Aetna of PA | Medicare | $156.63 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.09 | ↓ -90% |
| United Healthcare | Medicare | $161.10 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $161.10 | ↓ -90% |
| Aetna | CHIP/Medicaid | $161.99 | ↓ -90% |
| Aetna | Medicare | $164.09 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $184.80 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $193.98 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $197.18 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $212.36 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $265.17 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $303.16 | ↓ -80% |
| UPMC Health Plan | CHIP | $563.02 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $809.25 | ↓ -48% |
| UPMC Health Plan | Commercial | $869.78 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $889.46 | ↓ -43% |
| Aetna | Neighborhood Network | $932.40 | ↓ -40% |
| Aetna | EBR FI | $1,010.10 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,015.28 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,036.00 | ↓ -33% |
| Aetna | EBR ASO | $1,036.00 | ↓ -33% |
| Cigna | New Business ASO | $1,036.00 | ↓ -33% |
| Cigna | Commercial | $1,036.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $1,083.76 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,191.19 | ↓ -23% |
| InterGroup | PPO | $1,295.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $1,625.64 | ↑ +5% |
| Coventry/First Health | Commercial | $1,813.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $2,072.00 | ↑ +33% |
| Private Health Care Systems | PPO | $2,201.50 | ↑ +42% |
| Humana | Commercial | $2,201.50 | ↑ +42% |
| Multiplan | PPO | $2,382.80 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs sleep study unattended at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $90.00 | $124.35 – $337.65 |
| UPMC Passavant-McCandless | Pittsburgh | $1,719.00 | $137.07 – $352.51 |
| UPMC Presbyterian | Pittsburgh | $2,205.60 | $110.44 – $392.62 |
| UPMC St. Margaret | Pittsburgh | $1,768.20 | $128.79 – $303.16 |
| UPMC Altoona | Altoona | $1,899.00 | $75.00 – $303.16 |
| UPMC Bedford | Everett | $90.00 | $53.82 – $303.16 |
| UPMC Carlisle | Carlisle | $513.00 | $117.14 – $726.75 |
| UPMC Hamot | Erie | $1,442.40 | $98.61 – $303.16 |